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How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

Answer and Explanation

The Correct Answer is B

A. 3+ edema indicates moderate pitting (indentation depth of 5-7 mm and lasting 10-20 seconds).

B. 1+ edema is classified as slight pitting (indentation depth less than 2 mm that disappears rapidly, typically in less than 10 seconds), making this the correct documentation.

C. 2+ edema indicates moderate pitting (indentation depth of 3-4 mm that lasts up to 15 seconds).

D. +0 indicates no edema present at all.

E. 4+ edema indicates severe pitting (indentation depth of greater than 8 mm and lasting more than 20 seconds).

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A. Fluid restriction by mouth B. A low salt diet C. A chest x-ray D. Stool softener medication E. Antidiarrheal medication

Correct Answer is D

Explanation

A. Fluid restriction by mouth is not typically necessary with opioid administration unless other health conditions require it.

B. A low salt diet is unrelated to opioid administration unless there are concurrent health issues like hypertension or fluid retention.

C. A chest x-ray is not indicated solely due to opioid use.

D. Stool softener medication is commonly prescribed alongside opioid medications because opioids frequently cause constipation due to reduced gastrointestinal motility.

E. Antidiarrheal medication is not needed, as opioids are more likely to cause constipation rather than diarrhea.

A. question the patient about shortness of breath B. palpate the chest and back for masses C. inspect the skin and nails for integrity and color D. Ask the patient about color and quantity of sputum E. auscultate for lung sounds anteriorly and posteriorly

Correct Answer is ["A","D"]

Explanation

A. Asking about shortness of breath is critical subjective data that indicates respiratory distress.

B. Palpating for masses is more of a physical assessment and does not yield subjective data.

C. Inspecting skin and nails is also part of the objective assessment rather than subjective data.

D. Inquiring about the color and quantity of sputum provides important subjective data related to respiratory function.

E. Auscultation is an objective assessment technique and does not pertain to subjective data.

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How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

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Correct Answer is D

Explanation

Correct Answer is ["A","D"]

Explanation

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Take full exam for free How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

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Correct Answer is D

Explanation

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Correct Answer is ["A","D"]

Explanation

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How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?

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How would the nurse document mild, slight pitting edema of the ankles, where there can be no perceptible swelling seen, the indentation depth will be less than 2mm, and the indentation will disappear in less than 10 seconds?