. while assessing edema on a client’s lower leg, the nurse notices a slight imprint (2mm) of his fingers where the leg was palpated which immediately disappears how would the nurse document this
A. No edema
B. 1+edema
C. 3+ edema
D. 4+ edema
On performing a spinal assessment on your client, it is noted but the shoulders are rounded causing a visible
A. Scoliosis
B. Lordosis
C. Kyphosis
D. Spondylosis
. A client respiratory are 8, how could these respirations be documented ?
A. Apneic
B. Eupneic
C. Bradypneic
D. Tachypneic
●When the skin is applied pressur it should not form any depression which is referred to as no edema
If there is slight depression for about 2mm and it regains in seconds it is 1+edema
If it is 4mm then it is 2+ edema
If it is 6mm then it is 3+ edema
If it is 8mm then it is 4+ edema
Ans:1+ edema
●Scoliosis:The spine curvature is disturbed from midline to sideline
Lordosis:the lower back is turned inwards
Kyphosis :the upper back or shoulder is rounded
Spondylosis :the spinal cord undergoes degeneration as one ages
Ams:Kyphosis
●Apneic refers to no respiration
Eupneic refers to normal respiratory rate
When it is below 12 it is called as bradypneic
When it is above 20 is called tachypnea
Ans:Bradypneic
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