A nurse is explaining to the nursing students working on the antepartum unit how to as-sess edema. A score of _____ indicates edema of lower extremities, face, hands, and sa-cral area
a. +1
b. +2
c. +3
d. +4
C
Edema of the extremities, face, and sacral area is classified as +3 edema.
Edema classified as +1 indicates minimal edema of the lower extremities.
Marked edema of the lower extremities is termed +2 edema.
Generalized massive edema (+4) includes accumulation of fluid in the peritoneal cavity.
You might also like to view...
The nurse is caring for a patient who is being treated with quinine (Qualaquin) for drug-resistant malaria. The nurse will monitor the patient for cinchonism that will present with what manifestations?
A) Diarrhea, nausea, and fever B) Yellowing of the sclera and skin C) Tremors and ataxia D) Vomiting, tinnitus, and vertigo
Keratolytics dissolve thickened, cornified skin, such as warts, corns, and calluses
Indicate whether the statement is true or false
The client is 2 hours into recovery after a left-sided cardiac catheterization. Which of the following assessment parameters will the nurse use to monitor for complications specific to this procedure?
A. Testing handgrip strength and level of consciousness B. Inspecting the insertion site for hematoma formation C. Measuring intake and output to determine dye clearance and fluid status D. Comparing current heart rate and quality with those taken before the procedure
The nurse always treats multiple trauma victims as if a spine injury exists
Which assessment findings would the nurse evaluate as increasing the risk for the presence of a cervical spine injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient is confused and lethargic. 2. The patient has severe facial bruising and trauma. 3. The patient has severe open abdominal wounds. 4. The patient has an obvious depressed skull fracture. 5. The patient cannot follow commands.