A client is admitted with edematous lower extremities. The nurse palpates the client's skin and finds that when pressure is applied, a deep indentation occurs and lasts for a short time

Based on a 4-point scale, this finding would be documented as: 1. 3+ pitting edema.
2. 1+ pitting edema.
3. 2+ pitting edema.
4. 4+ pitting edema.


3+ pitting edema.

Rationale: On a 4-point scale, 3+ pitting edema describes deep pitting with the indentation lasting a short time. 1+ pitting edema describes mild pitting in which there is slight indentation and no obvious swelling. 2+ pitting edema indicates moderate pitting in which the indentation rapidly subsides. 4+ pitting edema describes very deep pitting in which the indentation lasts a long time.

Nursing

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