A nurse obtains the health history of a client who is newly admitted to the medical unit. Which statement by the client should alert the nurse to the presence of edema?
a. "I wake up to go to the bathroom at night."
b. "My shoes fit tighter by the end of the day."
c. "I seem to be feeling more anxious lately."
d. "I drink at least eight glasses of water a day."
ANS: B
Weight gain can result from fluid accumulation in the interstitial spaces. This is known as edema. The nurse should note whether the client feels that his or her shoes or rings are tight, and should observe, when present, an indentation around the leg where the socks end. The other answers do not describe edema.
You might also like to view...
The nurse manager has identified physical assessment skills lacking in a new registered nurse. Using goal-setting theory, which statement by the manager would be the most effective in enhancing the nurse's assessment skills?
1. "You need to work on your health assessment skills before your next employee evaluation." 2. "Get someone to help you with your health assessment skills by the end of the month." 3. "Read a health assessment book and practice your skills." 4. "Plan to study one body system a week and demonstrate your assessment skills to me every week."
The nurse is performing hand hygiene with an alcohol-based product. The nurse should rub the hands together for at least ______ seconds
Fill in the blank(s) with correct word
The name for the boundaries or focus of a discipline is
A. Imagination. B. Domain. C. Tradition. D. Value.
A patient with acute kidney injury is disappointed that hemodialysis, instead of peritoneal dialysis, is planned for treatment
After teaching about the two types of dialysis, the nurse determines that further instruction is needed when the patient makes which statement about the disadvantages of peritoneal dialysis? 1. "It's not speedy enough to remove the wastes." 2. "It may worsen my breathing problems." 3. "It cannot be used for older patients like me." 4. "It's not nearly as efficient as hemodialysis."