Difficulty: Medium
Average Score: 64%
Simulated
The nurse noted which of the following about the patient's skin during her monitoring assessment. (Select all that apply)
Correct answer
B,C
Rationale
Skin assessment includes evaluating temperature (to detect illness or injury) and turgor (to assess hydration). Tachypnea is a respiratory rate finding, and tympany is a percussion sound, not related to skin assessment.