The nurse is assessing a patient's skin. For what is the nurse ...

[meagbuch]

The nurse is assessing a patient's skin. For what is the nurse assessing when using the technique shown in this picture?
 
  1. hydration status
  2. skin temperature
  3. skin color
  4. liver function

Question 2

The nurse documents that a patient has 4+ pitting edema on the lower right tibia. How many millimeters of depression did this patient demonstrate?
 
  1. 2 mm
  2. 4 mm
  3. 6 mm
  4. 8 mm

[guyanai]

Answer to Question 1

Correct Answer: 1
The nurse in this picture is assessing for tenting of the skin, which is an indication of hydration status. Skin temperature is assessed using the back of the assessor's hand. Skin color is a visual inspection. This action does not assess liver function.

Answer to Question 2

Correct Answer: 4

+1 pitting edema is 2 mm of depression. +2 pitting edema is 4 mm. +3 pitting edema is 6 mm. +4 pitting edema is 8 mm.