While assessing the feet and ankles of an elderly client, the nurse presses her finger into the client's skin in order to create an indentation. The nurse is assessing for:
1. Pitting edema.
2. Ascites.
3. Sacral edema.
4. Periorbital edema.
1. Pitting edema.
Rationale:
Excess fluid trapped in bodily tissue, such as the feet and ankles, creates edema. To assess for the amount of edema, the nurse presses a finger into the edematous area to create an indentation. The amount of indentation indicates the level of edema. Ascites is abdominal swelling. Sacral edema is swelling around the hips and buttock region. Periorbital edema is swelling around the eyes.
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