Asked by Audrey Durst on Jun 21, 2024

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The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority\bold{priority}priority ?

A) Pressure points
B) Breath sounds
C) Bowel sounds
D) Pulse points

Skin Integrity

The state of the skin being whole, undamaged, and intact, with an adequate barrier function and absence of wounds or lesions.

Pressure Points

Specific areas on the body considered sensitive and can be used to alleviate pain or apply therapeutic pressure.

Assessment Priority

The determination of the most important aspects to evaluate in a given situation, particularly in healthcare settings.

  • Cultivate an extensive skill set for skin and wound evaluation.
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TT
Thaanushini ThanabalasingamJun 26, 2024
Final Answer :
A
Explanation :
Observe pressure points such as bony prominences. The nurse continually assesses the skin for signs of ulcer development. Assessment for tissue pressure damage includes visual and tactile inspection of the skin. Assessment of pulses, breath sounds, and bowel sounds is part of a head-to-toe assessment and could influence the function of the body and ultimately skin integrity; however, this assessment is not a specific part or priority of a skin assessment.