The nurse noted which of the following about the patient’s skin during her monitoring assessment. (Select all that apply)
Tachypnea
Temperature
Turgor
Tympany
Correct Answer : B,C
Normal skin temperature for healthy adults ranges between 92.3 and 98.4 Fahrenheit or 33-37 Celsius, far lower than the 98.6 F average core temp. Changes in skin temperature may indicate potential illness or injuries.
To check for skin turgor, the healthcare provider grasps the skin between two fingers so that it is tented up. Commonly the lower arm or abdomen is checked. The skin is held for a few seconds and then released. Skin with normal turgor snaps rapidly back to its normal position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Low economic status: This can limit their access to healthy and nutritious foods.
B. Self-care deficits that may hurt their ability to eat, prepare food, or secure food: This can include physical or cognitive impairments that make it difficult for them to shop, cook or feed themselves.
D. Dental problems: These can affect their ability to chew and digest food properly.
Correct Answer is ["B","C"]
Explanation
The primary nutrients are those that provide energy and building blocks for the body.
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