Difficulty: Medium
Average Score: 89%
Simulated
A nurse is collecting data from a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?
Correct answer
B
Rationale
A 6-mm indentation corresponds to 3+ pitting edema, indicating moderate to severe fluid retention.