A client is admitted to the unit with swelling of both lower extremities. During the physical exam, the nurse palpates the client's skin with the pads of her fingers and finds that the indention formed is deep, but lasts only a short time
This finding indicates: 1. Pitting edema.
2. Loss of skin elasticity.
3. Decrease sensation.
4. Increased skin turgor.
Pitting edema.
Rationale: If pressure leaves an indentation in the skin, pitting edema is present. Edema is caused by accumulation of fluid in the intercellular spaces. Pitting edema is generally evaluated on a 4-point scale. Loss of skin elasticity causes the skin to lack firmness, but the skin does indent when palpated. A patient with edema does not have a decrease in sensation. Skin turgor is assessed by pinching the skin to determine how quickly it returns to its normal shape.
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