Question

The nurse observes skin tenting on the back of the older adult clients hand. which action by the nurse is most appropriate?
a. notify the physician.
b. examine dependent body areas.
c. assess turgor on the clients forehead.
d. document the finding and continue to monitor.

Answer 1

Hello There!

The nurse observes tenting on the back of the older clients hand. The nurse should assess turgor on the clients forehead.

Thus making it, option C.

Hope This Helps You!
Good Luck :) 

- Hannah ❤