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.

Answer and Explanation

The Correct Answer is A

A.   4+ edema is characterized by very deep pitting, where the indentation remains for an extended period (several minutes), indicating severe fluid accumulation in the tissue.
B.   Deep pitting that lasts for a few minutes is more consistent with 2+ or 3+ edema, not the severe 4+ edema described.
C.   Mild pitting with no perceptible swelling does not align with 4+ edema; this level of pitting suggests minimal fluid accumulation.
D.   Moderate pitting where the indentation subsides rapidly is indicative of 2+ edema, not the profound swelling described as 4+ edema.

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Correct Answer is D

Explanation

A. Asymmetry of the scrotum is often normal; one side may hang lower than the other without indicating pathology.
B. Marked tenderness on palpation could suggest inflammation or infection but doesn’t necessarily indicate abnormality in all cases.
C. Easy sliding of scrotal contents is a normal finding; the testes should move easily within the scrotum.
D. The presence of small, firm, non-tender, yellowish nodules could indicate an abnormal finding such as sebaceous cysts or other nodules that may require further evaluation.

A. salpingitis. B. adnexa C. menarche. D. menopause

Correct Answer is D

Explanation

A. Salpingitis refers to inflammation of the fallopian tubes and doesn’t relate to cessation of menses.
B. Adnexa refers to the accessory structures of the uterus, such as the ovaries and fallopian tubes, but doesn’t describe the cessation of menses.
C. Menarche refers to the onset of menstruation, which is the opposite of cessation of menses.
D. Menopause is the natural cessation of menstruation that occurs typically around the age of 45-55 years in women.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?

Correct Answer is D

Explanation

The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:

Correct Answer is D

Explanation

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