N104: Essentials of Nursing Care - Health Safety

N104: Essentials of Nursing Care – Health Safety Study Guide o Deviations from normal: Cyanosis, pallor, or dusky red color; brown pigmentation at ankles; skin is shiny, waxy, or extremely dry; reduced hair; skin lesions; temperature asymmetrical, particularly if extremity is cool; edema; capillary refill delayed in compressed nail bed Evaluation It is important to compare all the findings with previous findings to determine if there are changes to any abnormal extremity findings. Record and report any significant deviations from the normal.

©2017

Achieve Test Prep

Page 47

of 135