Question

When the nurse is assessing a client with pitting edema, the indentation of 6 millimeters (0.25 inches) at the point of pressure. What should the nurse use to document the edema?

Answer 1

When the nurse is assessing a client with pitting edema, the indentation of 6 millimeters (0.25 inches) at the point of pressure. The nurse should use 3+ to document the edema.

How is pitting edema rated?

The severity of the edema is frequently assessed using a grading system in a range of +1 to +4. It is evaluated by applying pressure to the affected area, evaluating the pit's depth and duration, and making a determination (rebound time).

What is pitting edema's pathophysiology?

Pitting edema develops when the body retains too much fluid, resulting in swelling that deforms under pressure. It typically affects the lower limbs of the body and can be brought on by regional blood vessel issues, drug side effects, or underlying medical illnesses that result in disturbed blood flow or excessive fluid retention.

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