Difficulty: Medium
Average Score: 77%
Simulated
The nurse is caring for a client who is overweight and easily becomes diaphoretic. In response to this finding, which assessment (s) should the nurse include while assisting the client with personal care? Select all that apply.
Correct answer
A,E
Rationale
Diaphoresis and skin folds create a warm, moist environment that promotes fungal and bacterial growth, leading to skin breakdown and infection. Areas like under the breasts and in the perineal folds are high-risk and require thorough assessment for redness, rash, or maceration. Checking mucus membranes assesses hydration, not directly related to diaphoresis. Bruising and nailbed color are not the primary concerns with diaphoresis.