2024 PN NCLEX Questions Nursing Practice Question
A nurse assisting with data collection uses the back of the hand to feel the client's skin on both arms and notes that the skin is warm. The nurse makes which determination?
Correct Answer: B
Rationale: Using the back of the hand to assess skin temperature is a common practice in nursing. Noting that the skin is warm suggests that the skin temperature is within a normal range, as warm skin typically indicates adequate circulation and normal body temperature regulation.
Option A, suggesting a fever, is incorrect; a fever would typically present with hot, flushed skin, not just warm skin. Option C, regarding fluid intake, cannot be determined solely from skin temperature. Lastly, Option D, about removing a blanket, assumes the skin's warmth is due to overheating, which is not supported by the observation of normal warmth.