A patient has smooth, taut, shiny skin on the calves and thighs. When the skin is pressed, a depression 1 inch deep is made and is very slow to disappear. This finding would be documented as

a. 3+ pitting edema of the calves c. fluid volume deficit
b. mild edema in the calves d. hyponatremia


A
Pitting edema is rated on a four-point scale: +0 means no pitting; +1 is mild pitting of up to 1/4 of an inch; +2 is moderate pitting of between 1/4 to 1/2 of an inch; +3 is severe pitting of between 1/2 to 1 inch; and +4 is also severe pitting that is greater than 1 inch.

Nursing

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What action should the nurse implement when assisting a postoperative patient with pain control and comfort?

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A patient and family attend a counseling session. The patient has become depressed after a job loss. The nurse leading the counseling session informs the patient and his family that this type of crisis is caused by:

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A pregnant client confides to the nurse that she is eating laundry starch daily. The nurse should assess the client for:

1. Alopecia. 2. Weight loss. 3. Iron-deficiency anemia. 4. Fecal impaction.

Nursing