A nurse is assessing the skin turgor of an older adult client. In which of the following areas should the nurse lift the skin?

Rationale:

A. Omeprazole: Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and prevent gastrointestinal irritation, especially in clients taking NSAIDs. It does not interfere with tissue regeneration, collagen formation, or immune responses involved in wound healing. It does not raise concern for impaired postoperative recovery.

B. Prednisone: Prednisone is a corticosteroid that suppresses inflammation and decreases immune system activity, which can impair the normal healing process. It slows collagen synthesis, reduces fibroblast activity, and decreases the inflammatory response needed for effective tissue repair. Clients taking prednisone are at increased risk for delayed wound healing.

C. Digesin: Digesin is an enzyme-based digestive aid used to support gastrointestinal function and has no impact on tissue repair or immune function. It does not influence collagen production, vascularization, or cellular regeneration. Therefore, it does not contribute to postoperative wound healing complications.

D. Morphine: Morphine is an opioid analgesic used for postoperative pain management and does not interfere with the physiologic processes involved in wound healing. Adequate pain control may actually improve recovery by reducing stress responses, enhancing mobility, and promoting better respiratory effort. It does not delay wound tissue repair.

Rationale:

A. Social relationship with peers: Evaluating peer relationships helps determine the client’s emotional support system, which can influence stress levels and coping during pregnancy. However, this assessment does not pose an immediate impact on the physiologic wellbeing of the mother or fetus. It becomes more relevant after ensuring that no urgent health concerns are present.

B. Plans for attending school while pregnant: Exploring educational plans is important for long-term stability and preventing adverse socioeconomic outcomes. Although valuable for overall wellbeing, it is not an immediate safety concern. Educational planning should be addressed after assessing the pregnancy for factors that directly affect maternal–fetal health.

C. Understanding of infant care: Assessing knowledge of infant care helps identify educational needs before delivery and supports better neonatal outcomes. However, this is a future-oriented consideration and does not address the adolescent’s immediate health status. It becomes appropriate once urgent physiologic needs are evaluated.

D. Current nutritional status: Adolescents already have increased nutritional requirements for their own growth, and pregnancy further elevates these demands. Poor nutrition can lead to anemia, low birth weight, preterm birth, and delayed fetal growth, making it a priority assessment. Ensuring adequate maternal nutrition directly influences fetal development and reduces preventable complications.