During a physical examination of a client, the nurse observes ...

[londonang]

During a physical examination of a client, the nurse observes massive generalized edema. What would be best way that the nurse should record this observation in the electronic medical record?
 
  A) Pitting edema
  B) Nonpitting edema
  C) Anasarca
  D) Ecchymosis

Question 2

A 45-year-old male client tells the nurse that he has not slept through the night for the past 2 weeks. Which of the following drugs might the physician prescribe for this client?
 
  A) phenytoin (Dilantin)
  B) loratadine (Claritin)
  C) eszopiclone (Lunesta)
  D) norepinephrine (Levophed)

[thall411]

Answer to Question 1

C
Feedback:
Massive generalized edema is known as anasarca. Ecchymosis is bruising or discoloration of the skin. Pits or dents remain for more than 2 seconds after pressure is released (pitting edema) or edema is obviously present, but skin is shiny and hard and does not dent, even when pressed (nonpitting edema).

Answer to Question 2

C
Feedback:
Eszopiclone (Lunesta) is a newer medication commonly prescribed to treat insomnia. Phenytoin (Dilantin) is an anticonvulsive that depresses the brain's sensory areas located in the motor cortex. Loratadine (Claritin) is an antihistamine that causes the least amount of drowsiness in this class of drugs. Norepinephrine (levarterenol, Levophed) is a potent sympathetic neurotransmitter. Its primary action is to increase blood pressure as a result of vasoconstriction of peripheral blood vessels.