A nurse caring for a 9-year-old notices some swelling in the child's ankles. The nurse presses against the ankle bone for 5 seconds, then releases the pressure, noticing a markedly slow disappearance of the indentation

Due to these physical findings, the nurse would suspect a problem with the: 1. Respiratory system.
2. Renal system.
3. Musculoskeletal system.
4. Integumentary system.


2
Rationale:
1. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
2. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
3. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.
4. Dependent, pitting edema, especially in the lower extremities, can be a symptom of kidney disorder, so the renal system is affected. The renal system would be suspected before the respiratory, musculoskeletal, or integumentary system.

Nursing

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The nurse wants to know if the nursing plan of care is effective for a male client with malnutrition. Which does the nurse use to determine whether the plan is effective?

1. Large, smooth tongue surface 2. 80% of food consumed at meals 3. 185 pounds at 5 feet 6 inches tall 4. Reddish-pink mucous membranes

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Give examples of foods that he might substitute for those that are not suggested on his 2 g Na, low-fat diet

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