Question

Which assessment finding places a client at risk for problems associated with impaired skin integrity?

a. Smooth nail texture.

b. Scattered macula on the face.

c. Capillary refill 5 seconds.

d. Absence of skin tenting.

Answer 1

A capillary refill time of 5 seconds places a client at risk for impaired skin integrity due to potential poor blood circulation.

Step-by-step explanation:

The assessment finding that places a client at risk for problems associated with impaired skin integrity is c. Capillary refill 5 seconds. A normal capillary refill time is typically about 2 seconds or less. A prolonged capillary refill time, such as 5 seconds, can indicate poor blood circulation, which is crucial for maintaining skin integrity and promoting wound healing. When blood flow is compromised, it can lead to a myriad of problems, including an increased risk for skin breakdown, delayed wound healing, and potential for skin ulcers or infections.

Contrastingly, smooth nail texture, the presence of scattered macula on the face, or the absence of skin tenting do not necessarily place a client at risk for impaired skin integrity. These findings are either normal or relate to conditions other than impaired circulation.