A client drove himself to the urgent care center for Legs that look like balloons and difficulty walking. The nurse assesses 4+ edema of both legs based upon which finding?
Very deep pitting indentation of legs lasts several minutes.
Deep pitting indentation of legs lasts a few minutes.
Mild pitting no perceptible swelling of the legs.
Moderate pitting: indentation of legs subsides rapidly.
The Correct Answer is A
Choice A rationale: 4+ edema is characterized by very deep pitting indentation of the legs that lasts several minutes. This indicates severe fluid retention and significant swelling.
Choice B rationale: Deep pitting indentation lasting a few minutes is more indicative of 2+ or 3+ edema, not 4+.
Choice C rationale: Mild pitting with no perceptible swelling is more indicative of 1+ edema, not 4+.
Choice D rationale: Moderate pitting with rapid subsidence is indicative of 3+ edema, not 4+.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: The condyle of the mandible is the rounded process that fits into the TMJ.
Choice B rationale: The zygomatic arch is a bony structure formed by the zygomatic bone and the temporal bone.
Choice C rationale: The articulation of the mandible and the temporal bone is called the temporomandibular joint (TMJ).
Choice D rationale: The intervertebral foramen is an opening between vertebrae through which nerves exit the spinal cord.
Correct Answer is D
Explanation
Choice A rationale: Stating that it would be very unusual for a man his age to have prostate cancer may not be accurate, as prostate cancer can occur in older individuals.
Choice B rationale: Discussing chemotherapy implies a cancer treatment plan, which may not be applicable to BPH.
Choice C rationale: Describing the swelling in the prostate as temporary and going away may not be accurate for BPH, as it is a chronic condition.
Choice D rationale: The nurse provides accurate information by explaining that benign prostatic hypertrophy (BPH) is caused by hormonal changes and is not cancerous.
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