During a skin assessment of an adult client, which finding is considered expected?
Explanation & Rationale
Rationale: A. Multiple open lesions on the lower legs are abnormal and may indicate infection, trauma, vascular compromise, or chronic conditions such as venous stasis ulcers. This finding requires further assessment and intervention, so it is not an expected skin finding. B. Cyanosis around the lips indicates hypoxia or decreased oxygenation and is an abnormal finding. This requires immediate evaluation of the client’s respiratory and cardiovascular status. Cyanosis is never considered normal in adults. C. Intact skin that is evenly pigmented is considered an expected and healthy finding in adults. It indicates that the skin is functioning properly as a protective barrier, has adequate perfusion, and shows no signs of injury, infection, or circulatory compromise. D. Tented skin turgor indicates dehydration or loss of skin elasticity and is abnormal in adults. Normal skin turgor should return to its original position quickly when pinched. Persistent tenting reflects compromised fluid status or connective tissue changes.