The skin of a client's feet is very taut with edema. Which of these skin parameters has the nurse assessed?
a. integrity c. turgor
b. texture d. vascularity
C
Turgor is an assessment of skin hydration. Normally skin moves freely. A pinched fold of skin returns to normal position within 3 seconds. Skin will be taut with edema, slack with dehydration, and rigid in some diseases such as scleroderma.
You might also like to view...
Initial management of a pulmonary embolus includes
A) placement on a mechanical ventilator. B) plasmapheresis. C) anticoagulation therapy. D) both a and b.
Nursing is among the lowest risk occupations in the United States
Indicate whether the statement is true or false
A patient you are caring for is having a diagnostic MRI of the lower urinary system. How would you prepare the patient for this test?
A) Teaching methods of communication to the patient B) Teaching relaxation to the patient C) Teaching the patient he or she will have to lie still in a tube D) Teaching the patient that the MRI machine makes a lot of noise
The nurse is visiting the parents of a newborn diagnosed with periventricular leukomalacia. Which statement indicates that the parents understand the newborn's health problem?
A) "Once the infection clears up, the baby will be fine.". B) "We will need to plan for special care to help with learning disabilities.". C) "In a few months, more brain tissue will grow to fill in the hollow areas in the brain.". D) "In a few months, the baby will need to have physical therapy to train muscles to work.".