Which item is NOT observed in integumentary screening?

• A. Temperature
• B. Color
• C. Lesions
• D. Nails

Answer: (A)

Integumentary screening relies on what you can observe visually about the skin and its outgrowths. You’re looking at color to gauge perfusion and oxygenation (like pallor, cyanosis, or jaundice), at lesions to identify dermal problems or wounds, and at nails to assess changes that reflect systemic or local issues (such as clubbing or ridges). Temperature, on the other hand, is not seen with the eyes during a quick screening; it needs palpation or a thermometer to evaluate warmth or coolness of the skin. That tactile assessment isn’t part of what you observe visually in a screening, so temperature is the item that doesn’t belong.