Author Question: A client asks the nurse how the fluid in the ankles keeps coming back. The nurse shares with the ... (Read 82 times)

nmorano1 · **on:** Jul 17, 2018

A client asks the nurse how the fluid in the ankles keeps coming back. The nurse shares with the client the principal causes of edema. What principal causes should the nurse review with the client?

1 . Obstruction of arterial blood or lymphatic return
2 . Increased capillary permeability or increased capillary pressure
3 . Immune reactions
4 . External pressure from tight binders or casts
A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

Question 2

A client arrives at the primary care provider's office with an open area on the lower leg after banging the leg into the car door. Which information about the client's condition should the nurse identify as objective data?

A) Client is anxious
B) Size, location, and color of the wound
C) Client complaint of pain in the lower leg
D) Client complaint of urinary frequency

cassie_ragen · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
Some causes of edema include obstruction of venous (not arterial) blood or lymphatic return, increased capillary permeability, or increased capillary pressure, external pressure (e.g., tight binders or casts), and inflammatory reactions.

Answer to Question 2

B
Feedback:
The size, location, and color of the wound sustained by the client constitute objective data because these signs can be observed by other members of the healthcare team. Judgments or opinions are not considered objective. The client's statements about being anxious, pain in the lower leg, and complaints of urinary frequency are not objective data, because they cannot be observed or verified by any other individual.