The nurse documents edema in the ankles as 3+ for a client. What does this documentation indicate?
1. There is slight depression of the skin.
2. The leg is visibly swollen with deep pitting.
3. The leg is very swollen with very deep pitting.
4. The leg is not changed in size, with mild-to-moderate pitting.
Answer: 2
1. Slight depression is documented as 1+ edema.
2. Visible swelling with deep pitting is 3+ pitting edema.
3. A very swollen leg with very deep pitting is documented as 4+.
4. Mild-to-moderate pitting is described as 2+ edema.
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