A nurse is assessing a client's lower extremities and notes 6 mm pitting edema. Which of the following is appropriate documentation of this assessment finding?
1+
4+
3+
2+
The Correct Answer is C
A. 1+ pitting edema is mild, with a slight indentation.
B. 4+ pitting edema is severe, with a deep indentation that lasts a long time.
C. 3+ pitting edema is moderate, with a deeper indentation that takes some time to rebound.
D. 2+ pitting edema is moderate, with a slight indentation that rebounds fairly quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. Palliative surgery may not necessarily provide more information about the disease.
C. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.
Correct Answer is D
Explanation
A. Wrapping the finger in a warm cloth helps improve blood flow and can facilitate the blood sample collection.
B. Rubbing the fingertip with an alcohol pad cleans the site before the puncture.
C. Puncturing the side of the fingertip is less painful and avoids the pain receptors.
D. The nurse should intervene if the client elevates the finger above the level of the heart. Holding the finger below the level of the heart in a dependent position will help increase blood flow to the area and ensure an adequate specimen for collection.
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