Evelyn, a 72-year-old female, was admitted to the facility due to myocardial infarction. On routine assessment, the nurse caring for Evelyn notes bilateral pitting edema in the lower extremities. Indention is 4 millimeters. Which of the following is the most appropriate action of the nurse?

Question

Quizplus · Accepted Answer

The most appropriate action of the nurse is to review the client's fluid intake and output for the last 48 hours. The client's edema is graded 2, which is not severe. Fluid intake and sodium restriction are initiated with severe edema. Diuretics are administered in the morning to avoid nocturia.

Evelyn, a 72-Year-Old Female, Was Admitted to the Facility Due