Turgor

Definition

Turgor is the elasticity of skin, assessed by pinching the skin on the forearm, sternum (or abdomen in children) and observing how quickly it returns to normal.

Findings

• Normal: Skin returns to original position immediately.
• Poor turgor (tenting): Skin slowly returns, such as dehydration, malnutrition.
• Elderly: Diminished elasticity makes turgor less reliable; assess sternum or skin over clavicle instead.

Clinical Context

Use turgor alongside other dehydration indicators: dry mucous membranes, tachycardia, hypotension, oliguria, sunken fontanels (infants), elevated BUN/creatinine.

Nursing Interventions

Address dehydration: oral rehydration if tolerated, IV fluids if severe. Monitor vital signs, I&O, weight, electrolytes.

NCLEX Relevance

Tenting = dehydration cue. Forehead/sternum more accurate in elderly.