Difficulty: Medium
Average Score: 76%
Full-length
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
Correct answer
D
Rationale
In left-sided congestive heart failure, fluid backs up into the lungs, but dependent edema is assessed in the sacrum in bedridden clients or feet in ambulatory clients. The sacrum is the most appropriate site for hospitalized clients, as they are often recumbent.