The nurse assesses a facial characteristic that is a sign of fluid retention in the patient with renal impairment, which is:
1. broken blood vessels around the nose.
2. periorbital edema.
3. rash on cheeks and neck.
4. facial twitching.
2
Periorbital edema is a sign of fluid retention. Because the patient with renal impairment has generalized edema, this facial feature is extremely significant in assessing edema.
PTS: 1 DIF: Cognitive Level: Application REF: 842
OBJ: 1 TOP: Sign of Fluid Retention
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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