Difficulty: Medium
Average Score: 68%
Simulated
A nurse is assessing a client's lower extremities and notes 6 mm pitting edema. Which of the following is appropriate documentation of this assessment finding?
Correct answer
C
Rationale
The correct answer is C: 3+. This indicates moderate pitting edema of 6 mm depth. 1+ would be barely perceptible pit (2 mm), 2+ would be a deeper pit (4 mm), and 4+ would be very deep pit (8 mm). Choices E, F, and G are left blank as they are not relevant to the question. In summary, 3+ accurately describes the moderate pitting edema observed, while the other choices represent different degrees of pitting edema.