Which technique would the nurse use to assess a patient's skin turgor?
1. Palpate the skin.
2. Grasp a fold of the patient's skin between the forefinger and thumb.
3. Determine the patient's fluid intake for past 2 hours.
4. Blanch the nail bed.
2
Rationale 1: Elasticity and mobility or turgor of the skin cannot be determined by palpating.
Rationale 2: Turgor refers to the elasticity and mobility of the skin. To assess turgor, the nurse would grasp a fold of the patient's skin between the forefinger and thumb and note how rapidly the skin returns to its normal shape.
Rationale 3: Turgor is an indication of hydration but cannot be assessed by measuring fluid intake.
Rationale 4: Blanching the nail bed assesses capillary refill, which indicates circulation in the extremity.
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