Practice Question
What is an unexpected finding when assessing skin folds?
Answer Choices:
Correct Answer:
Redness, warmth, and inflammation
Rationale:
🔺 These findings signal pathology—most commonly intertrigo or candidal/bacterial infection—and are unexpected in healthy skin folds.
🔺 Erythema, heat, tenderness, and maceration arise from trapped moisture + friction, progressing from irritation to secondary infection if unaddressed.
🔺 High-risk groups include clients with obesity, diabetes, incontinence, immobility, and those in hot, humid environments.
🔺 Early intervention prevents skin breakdown: gently clean and dry, use barrier protectants (zinc oxide/petrolatum), apply topical antifungal if yeast is suspected, and improve airflow.
🔺 Document extent and monitor closely; escalating erythema, pain, odor, or drainage warrants provider evaluation for cellulitis.
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This question is from ☑️ATI- Custom Exam 4 Fundamentals 25Q3 which contains 33 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4