What is skin integrity?
The term 'skin integrity' refers to the skin being a sound and complete structure in unimpaired condition. Conversely, impaired skin integrity is defined as an "altered epidermis and/or dermis... destruction of skin layers (dermis), and disruption of skin surface (epidermis)" (NANDA 2013).
When assessing the skin of a patient with bulimia which data is important for the nurse to obtain?
1. When assessing the skin of a client with bulimia, which data is important for the nurse to obtain? R: assessment of skin turgor, or degree of elasticity, provides data r/t fluid volume balance. The nurse assesses that Mandi's skin turgor is slightly inelastic.
What is integumentary assessment?
A routine integumentary assessment by a registered nurse in an inpatient care setting typically includes inspecting overall skin color, inspecting for skin lesions and wounds, and palpating extremities for edema, temperature, and capillary refill.
What cues support the nurses assessment regarding the client's fluid status?
What cues support the nurse's assessment regarding the client's fluid status? Dry mucus membranes (Dry or cracked mucus membranes can be the result of inadequate hydration, which, like inelastic skin turgor, validates the initial finding of fluid volume deficit).