The nurse is assessing a client newly admitted to the medical unit. Which statement made by the client alerts 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."
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.
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