A nurse is collecting data from a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?

Answer and Explanation

The Correct Answer is B

A. 4+: 4+ pitting edema corresponds to an indentation of 8 mm or more, which is more severe than the 6 mm described in the question.

B. 3+: 3+ pitting edema is characterized by an indentation of 6 mm and indicates moderately severe fluid retention.

C. 2+: 2+ pitting edema corresponds to an indentation of 4 mm, which is less than the 6 mm described.

D. 1+: 1+ pitting edema corresponds to an indentation of 2 mm, which is mild and does not match the severity in the scenario.

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Correct Answer is C

Explanation

A. Denial of pruritus. Pruritus (itching) is a hallmark symptom of contact dermatitis, so its denial would be unusual.

B. Reports of joint discomfort. Joint pain is not a characteristic feature of contact dermatitis; it is more common in systemic inflammatory conditions such as arthritis.

C. Reports of exposure to a skin irritant. Contact dermatitis is caused by direct contact with an irritant or allergen, so a history of exposure is a key finding.

D. Elevated temperature. Fever is not typical of contact dermatitis unless an infection is present.

A. Urinary frequency B. Urinary tract infection C. Urinary retention D. Urinary incontinence

Correct Answer is B

Explanation

A. Urinary frequency. Urinary frequency is an increased urge to void, which can be caused by a UTI but does not explain cloudy, foul-smelling urine on its own.

B. Urinary tract infection (UTI). Cloudy, dark amber urine with a foul odor is indicative of a UTI due to bacterial presence, pus (pyuria), and possibly hematuria.

C. Urinary retention. Urinary retention leads to distended bladder, incomplete emptying, and overflow incontinence, but it does not cause foul-smelling, cloudy urine unless it leads to secondary infection.

D. Urinary incontinence. Incontinence is the involuntary loss of urine, but it does not cause cloudy or foul-smelling urine unless there is an underlying infection.

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A nurse is collecting data from a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has contact dermatitis of the neck and upper chest. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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