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A Nurse Caring for a School-Age Client Notices Some Swelling

Question 2

Multiple Choice

A nurse caring for a school-age client notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure and notices a markedly slow disappearance of the indentation. Which priority nursing assessment is appropriate?


A) Skin integrity, especially in the lower extremities
B) Urine output
C) Level of consciousness
D) Range of motion and ankle mobility

Correct Answer:

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