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    Health assessment (chamberlain university)

    The nurse is inspecting a client’s skin. Which finding is appropriate for the nurse to document that describes the skin?

    Explanation & Rationale

    Choice A reason: Documenting “no signs of acute distress” refers to the client’s overall condition, not specifically the skin. This statement is more appropriate for general appearance rather than skin assessment. Choice B reason: Stating that the client appears the age specified relates to general appearance and developmental assessment, not the condition of the skin. Choice C reason: Documenting that the skin is intact with no apparent lesions is the correct finding for a skin assessment. It directly describes the condition of the skin, noting the absence of breaks, wounds, or abnormal growths. This is an appropriate and objective observation. Choice D reason: Documenting that the client is awake and alert refers to neurological status, not skin condition. It does not describe the skin itself.

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