A nurse is assessing a patient with acute renal failure for pitting edema. She gently presses her finger into the edematous area on the patient's foot. She measures an indention of 8 mm, which slowly returns to baseline after about 3 minutes
Which level of pitting edema does this patient exhibit?
A) 4+ (severe)
B) 3+ (moderate)
C) 2+ (mild)
D) 1+ (trace)
A
You might also like to view...
To prevent infection when infusing an intermittent "piggyback" line, which intervention does the nurse implement?
a. Backpriming the secondary container from the primary line b. Detaching and capping the secondary line after use c. Using a new secondary container with each drug infused d. Using sterile gloves when administering medication
A 4-year-old has Gilles de la Tourette syndrome. A unique manifestation of this syndrome is
A) obscenity shouting. B) running wildly in circles. C) mutism. D) easily broken bones.
A parent is concerned about her 8-year-old child's recent behavior and calls the nurse for advice. According to the parent, her child is constantly crying, is not sleeping well, has withdrawn from activities, and does not want to attend school. Which should the nurse explore in more detail with the parent?
1. Bullying 2. Sexual abuse 3. Lead poisoning 4. Drug abuse
Which acid-base imbalance should the nurse be prepared for in a client who has acute pancreatitis?
A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis