When assessing a patient's edema, which of the following questions can be asked to quantify the degree of edema?
What salty foods do you eat?
How much water are you drinking per day?
Have you bought slimmer pants recently?
Are your rings fitting tighter lately?
The Correct Answer is D
A. What salty foods do you eat?: Dietary sodium intake contributes to fluid retention, but this question assesses a potential cause rather than quantifying the extent of edema. It does not provide a measurable or comparative indicator of swelling severity.
B. How much water are you drinking per day?: Fluid intake influences volume status, but reported intake does not reflect where fluid is accumulating or the degree of peripheral edema. This question evaluates risk factors, not physical changes.
C. Have you bought slimmer pants recently?: Clothing fit can be influenced by weight changes, body composition, or fashion choices and is not specific to edema. It lacks precision and does not reliably reflect localized fluid accumulation.
D. Are your rings fitting tighter lately?: Changes in ring fit indicate swelling in the hands and fingers and allow comparison over time. This question helps quantify edema progression using a consistent personal baseline and is commonly used in clinical assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A focused health history concentrates on a specific health concern or symptom. It is commonly used for returning patients but can also be performed for new patients when the visit is centered on a particular problem rather than a comprehensive assessment.
Correct Answer is A
Explanation
A. The nurse should have used the check-back method while the drug was being prescribed to ensure she understood what was ordered: The check-back method is a standardized communication strategy in which the receiver repeats the order back to the prescriber to confirm accuracy. This prevents errors from mishearing, misremembering, or confusing similarly named medications, such as Rifampin and Rifaximin.
B. No issue detected, the two drugs are from the same class: Rifampin is an anti-tuberculosis agent, while Rifaximin is used primarily for gastrointestinal infections. They are not interchangeable, and giving the wrong drug can lead to ineffective therapy and adverse effects.
C. The nurse could have chased the doctor down the hallway to clarify the name of the drug: While clarification is important, hurrying after a prescriber is not a reliable or standardized method for ensuring patient safety.
D. None of the above would have avoided the unfortunate occurrence: This is incorrect because using structured communication techniques like check-back is specifically designed to prevent such medication errors.
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