The nurse documents edema in the ankles as 3+ for a client. What does this documentation indicate?
1. There is slight depression of the skin.
2. The leg is visibly swollen with deep pitting.
3. The leg is very swollen with very deep pitting.
4. The leg is not changed in size, with mild-to-moderate pitting.
Question 2
The nurse is obtaining the services of a translator to assist with the assessment of a non-English speaking client. What should the nurse take into consideration when using a translator? (Select all that apply.)
1. Look at the client when talking.
2. Use a family member to reduce the cost.
3. Ask questions in groups to reduce repetition.
4. Have the translator ask the client questions from a printed paper.
5. Arrange the room so the client can see the nurse and translator.