During an assessment, the nurse notes that a patient has 2 mm pitting edema in his ankles. In the medical record, the nurse grades this edema as:
A) 1+
B) 2+
C) 3+
D) 4+
A) 1+
Explanation: A) In the extremities, edema is more readily notable and palpable. This palpable quality is then graded on a scale of 1-4, the higher score indicating more serious and enduring edema (2 mm pitting when palpated is graded as 1+ pitting edema; 4 mm is considered 2+ pitting edema; 6 mm is 3+ pitting edema; and 8 mm is considered 4+ pitting edema).
B) In the extremities, edema is more readily notable and palpable. This palpable quality is then graded on a scale of 1-4, the higher score indicating more serious and enduring edema (2 mm pitting when palpated is graded as 1+ pitting edema; 4 mm is considered 2+ pitting edema; 6 mm is 3+ pitting edema; and 8 mm is considered 4+ pitting edema).
C) In the extremities, edema is more readily notable and palpable. This palpable quality is then graded on a scale of 1-4, the higher score indicating more serious and enduring edema (2 mm pitting when palpated is graded as 1+ pitting edema; 4 mm is considered 2+ pitting edema; 6 mm is 3+ pitting edema; and 8 mm is considered 4+ pitting edema).
D) In the extremities, edema is more readily notable and palpable. This palpable quality is then graded on a scale of 1-4, the higher score indicating more serious and enduring edema (2 mm pitting when palpated is graded as 1+ pitting edema; 4 mm is considered 2+ pitting edema; 6 mm is 3+ pitting edema; and 8 mm is considered 4+ pitting edema).
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