The nurse determines a client's skin turgor is nonelastic and the skin folds remain elevated. The nurse recognizes a cause of this is:
A)
edema.
B)
cold temperature.
C)
dehydration.
D)
lesions.
C
Explanation:
A)
A lack of water as seen with dehydration decreases the fullness and elasticity of the skin. Excess fluid would cause edema. Temperature and lesions usually do not affect skin turgor.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
A lack of water as seen with dehydration decreases the fullness and elasticity of the skin. Excess fluid would cause edema. Temperature and lesions usually do not affect skin turgor.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
A lack of water as seen with dehydration decreases the fullness and elasticity of the skin. Excess fluid would cause edema. Temperature and lesions usually do not affect skin turgor.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
A lack of water as seen with dehydration decreases the fullness and elasticity of the skin. Excess fluid would cause edema. Temperature and lesions usually do not affect skin turgor.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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