The nurse is performing an assessment of the skin. Which statements regarding this assessment are correct?
Select all that apply.
1. Assessment of the skin involves inspection, palpation, and auscultation.
2. Assessment of the skin involves using the sense of smell.
3. The nurse assesses the client for edema.
4. The nurse may assess the client's nails and hair while assessing the skin.
5. When assessing the skin, the nurse recognizes the effect of developmental stage on findings.
Correct Answer: 2,3,4,5
Assessment of the skin involves using the sense of smell to note any unusual odors or the presence of body odor frequently related to poor hygiene. The nurse will note any edema that makes skin look swollen, shiny, and taut. The nurse can assess the nails and hair while performing the skin assessment. The client's developmental stage will impact the findings, and must be taken into consideration when the nurse assesses the client's skin. Assessment of the skin involves inspection and palpation, but auscultation is generally not required, because there is nothing to listen to during this exam.
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