The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes.The nurse notes that the patient is extremely dehydrated.To make this assessment,what did the nurse evaluate?

Question

Quizplus · Accepted Answer

A hydration assessment includes observations of skin integrity,skin turgor,and buccal membrane moisture.Moist,shiny buccal membranes indicate satisfactory fluid balance.Skin turgor that is resilient and returns to its original position in less than 3 seconds after being pinched or lifted indicates adequate skin elasticity.Skin over the forehead,clavicle,and sternum is the most reliable for testing tissue turgor because it is less affected by aging and thus more easily assessed for changes related to fluid balance.

The Nurse Is Caring for a Patient Who Has Been