Nursing 104

N104: Essentials of Nursing Care – Health Safety Study Guide Assess peripheral perfusion. o Normal: Skin moist and pink; temperature in bilateral extremities consistent and symmetrical; no edema; skin resilient; capillary refill with immediate return ofcolor in compressed nail bed 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. •

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