Practice Quiz

NCLEX-PN

Category - Reduction of Risk

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A client with peripheral edema is admitted. The nurse needs to reinforce the health teaching if the client states:
  1. “I should not dangle my legs on the side of the bed before standing up.”
  2. “I need to lie flat in bed to relieve the edema.”
  3. “I must drink 2 liters of water a day.”
  4. “I should avoid standing for long hours.”
Explanation
Answer: C - The client should limit his fluid intake to 1 to 1.5 Liters a day to avoid fluid overload and worsening the edema. Standing for long hours and dangling the feet prevent venous return of the blood, causing the peripheral edema. In order to relieve the edema, the client should elevate the affected leg not higher than the heart level.
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