The nurse is assessing a 78-year-old client who has been admitted to the emergency department with chest pain. The nurse plans to assess the client's skin turgor:

1. On the forearms.
2. On the sternum.
3. On the knee.
4. On the back of the neck.


Answer: 2

1. The forearms often have loose flesh, and are not a good area to assess turgor in the older adult.
2. The sternum is the best place in the older adult to check skin turgor.
3. The knee is not the best choice of areas to check for skin turgor in the older adult.
4. The back of the neck is apt to have loose skin, which would make assessing turgor very difficult in the older client.

Nursing

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