When assessing a 73-year-old female patient, the nurse found wrinkles, sagging breasts, and tenting of the skin, gray hair, and thick, brittle toenails. The nurse knows that what normal changes of aging occur that can cause these changes in the integumentary system? Show Decreased activity of apocrine and sebaceous glands, decreased density of hair, and increased keratin in nails Decreased extracellular water, surface lipids, and sebaceous gland activity, decreased scalp oil, and decreased circulation Muscle laxity, degeneration of elastic fibers, collagen stiffening, decreased melanin, and decreased peripheral blood supply Increased capillary fragility and permeability, cumulative androgen effect and decreasing estrogen levels, and decreased circulation A 30-year-old patient has been diagnosed with hypothyroidism. What should the nurse expect to assess in this patient's integumentary system? Warm, flushed skin, alopecia, and thin nails General hyperpigmentation and loss of body hair Pale skin, pale mucous membranes, hair loss, and nail dystrophy Cold, dry, pale skin; dry, coarse hair; and brittle, slow growing nails Which method is the most appropriate technique for the nurse to use to assess skin turgor?To assess the skin turgor, the most appropriate technique for the nurse to use is which of these? Turgor refers to the elasticity of the skin. Assess turgor by gently pinching an area of skin under the clavicle or on the back of the hand.
How should you assess a patient's skin temperature and moisture?Use the back of the hand (dorsal surface) to assess the patient's skin temperature. The patient's temperature should range from lightly warm to slightly cool. Some patients' hands and feet may be normally cooler.
Which techniques will the nurse use to perform a physical examination of a patient's skin?A nurse is examining a patient's skin using palpation. Which action made by the nurse needs correction? Skin turgor and elasticity should be checked by grasping the skin with fingertips, not by using finger pads. Skin texture and thickness should be assessed by using the palmar surface of the hand.
What are the 4 types of nursing assessments?The four medical assessments regularly performed on patients are:. Initial assessment. ... . Focused assessment. ... . Time-lapsed assessment. ... . Emergency assessment.. |
Which technique will the nurse to obtain information about temperature turgor moisture and texture?
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