Question Of The Day: Integumentary Disorders

Q. A nurse is performing a baseline assessment of a client's skin integrity. What is the priority assessment parameter?

A. Family history of pressure ulcers

B. Presence of pressure ulcers on the client

C. Potential areas of pressure ulcer development

D. Overall risk of developing pressure ulcers

 

Correct Answer: D

Explanation: When assessing skin integrity, the overall risk potential of developing pressure ulcers takes priority. Overall risk encompasses existing pressure ulcers as well as potential areas for development of pressure ulcers. Family history isn't important when assessing skin integrity.