Difficulty: Medium
Average Score: 92%
Full-length
The nurse is performing a baseline assessment of a client's skin integrity. Which of the following is a key assessment parameter?
Correct answer
D
Rationale
When assessing skin integrity, the overall risk potential for 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.