2024 PN NCLEX Questions Nursing Practice Question
When assessing a client with deep pitting edema, with the indentation remaining for a short time and visible leg swelling, how should a nurse document this finding?
Correct Answer: C
Rationale: In assessing deep pitting edema, the degree of indentation duration and visible swelling are key indicators.
Option C, 3+ edema, is appropriate as it indicates moderate pitting, where the indentation lasts for a noticeable time and is associated with significant swelling.
Option A, 1+ edema, reflects slight pitting with minimal swelling, which does not match the described severity.
Option B, 2+ edema, suggests a moderate level of pitting but typically involves less pronounced swelling and shorter indentation duration.
Option D, 4+ edema, represents severe pitting with prolonged indentation and extreme swelling, which exceeds the findings in this scenario.