Which assessment finding supports the client statement, "My feet swell all the time?"

2+ pitting edema of ankles bilaterally.

Capillary refill both feet greater than 3 seconds.

Pedal pulses weak and thready.

Positive Homan's sign bilaterally.

Answer and Explanation

The Correct Answer is A

A. 2+ pitting edema of ankles bilaterally. This is the best choice because it directly indicates fluid retention and swelling in the feet.

B. Capillary refill both feet greater than 3 seconds. Delayed capillary refill suggests poor circulation but does not directly confirm swelling.

C. Pedal pulses weak and thready. Weak pulses indicate poor circulation but do not confirm swelling.

D. Positive Homan's sign bilaterally. Positive Homan's sign can indicate deep vein thrombosis but does not directly relate to chronic swelling.

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Correct Answer is A

Explanation

A. Presents with a hacking non-productive cough of 6 weeks duration. This is the best choice as it objectively describes the symptom and its duration.

B. An adult male presents with fears that he has "lung cancer." This focuses on the client's fear rather than the symptom.

C. Expresses concern of "lung cancer" symptoms for last 6 weeks. This mixes subjective concerns with symptoms, making it less clear.

D. Describes having a "body wracking dry cough" of 6 weeks duration. This is a good choice but slightly less objective than option A.

A. Closed ended questions. B. Detailed questions about a symptom. C. Open ended questioning. D. Leading questions.

Correct Answer is C

Explanation

A. Closed ended questions. Closed-ended questions limit the amount of information the client can provide.

B. Detailed questions about a symptom. Detailed questions are useful but may still be somewhat limiting compared to open-ended questions.

C. Open ended questioning. This is the best choice because it allows the client to provide a thorough description of their sputum, including color, consistency, and amount.

D. Leading questions. Leading questions suggest a specific answer and may bias the client's response.

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Which assessment finding supports the client statement, "My feet swell all the time?"

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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