How should the nurse assess a client for possible dependent edema?

The correct approach to assess for possible dependent edema involves a procedure that directly evaluates fluid accumulation in areas where gravity can cause pooling, typically in the lower extremities. Applying light pressure over the shins effectively checks for pitting edema, which is an indicator of fluid retention, allowing the nurse to observe for indentation left by the finger upon release. This technique is valuable because it focuses on the areas of the body where edema is most likely to occur and provides immediate visual feedback regarding the presence and severity of the condition.

Other assessment methods, while related to edema, either involve different body areas or measure other types of fluid accumulation that do not specifically indicate dependent edema. Measuring abdominal girth is more suited for assessing ascites and not specifically for dependent edema, while compressing the flank and upper buttocks does not directly assess lower leg or foot swelling. Gently palpating the lower abdomen is also not relevant for assessing dependent edema as it does not address fluid pooling in areas where gravity exerts its influence.