Skill: Assessing the Nails

Performed
Procedure Yes No Mastered Comments
1. Introduce yourself and verify the
client’s identity. Explain to the
client what you are going to do,
why it is necessary, and how the
client can cooperate.
2. Observe appropriate infection
control procedures.
3. Provide for client privacy.
4. Inquire if the client has any history
of the following:
• Diabetes mellitus
• Peripheral circulatory disease
• Previous injury
• Severe illness
Assessment
5. Inspect fingernail plate shape to
determine its curvature and angle.
6. Inspect fingernail and toenail
texture.
7. Inspect fingernail and toenail bed
color.
8. Inspect tissues surrounding nails.
9. Perform blanch test of capillary
refill.
Press two or more nails between your
thumb and index finger; look for
blanching and return of pink color to
nail bed.
10. Document findings in the client
record.