A Patient Is Admitted to the Critical Care Unit in Congestive

question 10

Multiple Choice

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.The nurse is assessing the peripheral edema.The nurse presses two fingers over the tibial area, and it takes 1 minute before the indention disappears.The nurse would chart the following result:

• A) +1 pitting edema.
• B) +2 pitting edema.
• C) +3 pitting edema.
• D) +4 pitting edema.

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Definitions:

Delirium

An acute, often sudden disturbance in mental abilities that results in confused thinking and reduced awareness of the environment.

Long-term Care

A variety of services and supports to meet health or personal care needs over an extended period of time.

Older Adults

Individuals typically aged 65 or older, often characterized by increased medical, social, and physical considerations.

Residential Facilities

Living environments that provide housing and care services to individuals who cannot independently meet their own personal care needs.