You Are Assessing Mr

question 16

Multiple Choice

You are assessing Mr. Z's fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as:

• A) 1+.
• B) 2+.
• C) 3+.
• D) 4+.

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Definitions:

Parotid Gland

The largest of the salivary glands, located near the ear, responsible for producing saliva to aid in digestion.

Cervical Lymph Nodes

Small, bean-shaped glands located in the neck area that are part of the lymphatic system, playing a role in the body's immune response.

Positive Romberg Sign

A sign of neurological dysfunction where a person sways or falls when standing with feet together and eyes closed, indicating proprioceptive or vestibular impairment.

Sternomastoid

A major muscle in the neck that runs from the sternum and clavicle to the mastoid process of the temporal bone, involved in head movement and rotation.