During routine assessment of a critically ill patient, the nurse is able to indent the skin on the dorsal surface of the foot 4 mm and the skin rebounds in a few seconds. What degree or type of edema is present?
A) Nonpitting edema
B) 2+ pitting edema
C) 3+ pitting edema
D) 4+ pitting edema
B
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A physician plans to order diazepam (Valium) for a client who experiences panic attacks. The nurse should assess the client for:
1. alcoholism. 2. nutritional status. 3. family situation. 4. job status.
A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on the critical care unit. The priority nursing diagnosis for a patient with this condition is what?
A) Risk for peripheral neurovascular dysfunction B) Excess fluid volume C) Hypothermia D) Ineffective airway clearance
Preoperative teaching should include how to perform postoperative leg exercises, which are done to prevent which complication of surgery?
a. ankylosis of the joints c. thrombosis formation b. atrophy of the muscles d. pneumonia
A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)
A) Household income of $23,000 per year B) Reading level of a third grader C) Medication ineffective due to error in prescription D) Originally from Sudan E) No family in the area