A client diagnosed with diabetes has severe peripheral neuropathy, resulting in numbness and reduced sensation. Which intervention should the nurse teach the client to prevent injury as a result of this complication?
"Wear socks when walking in the house."
"Wear sandals with a flat heel."
"Use a bath thermometer to test water temperature."
"Examine your feet daily."
The Correct Answer is C
A. While this can help protect the feet from minor injuries, it doesn't directly address the risk of burns from hot water.
B. This can be helpful for foot health, but it doesn't protect against burns.
C. This is the most effective way to prevent burns, as individuals with peripheral neuropathy may not be able to feel the heat of the water.
D. This is important for identifying cuts, sores, or other foot problems, but it doesn't directly prevent burns.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Infections, including urinary tract infections, can increase insulin resistance and elevate blood glucose levels, potentially leading to DKA. The stress response from infection can also increase cortisol levels, further contributing to hyperglycemia.
B. Decreased caloric intake can lead to inadequate insulin levels relative to the body’s needs. In Type 1 diabetes, if insulin is not sufficient to metabolize glucose (due to low intake or other reasons), the body may resort to fat metabolism, leading to the production of ketones and the development of DKA.
C. While exercise can affect blood glucose levels, it typically lowers them and is not a direct cause of DKA. In fact, moderate aerobic exercise is usually encouraged for managing diabetes. However, if blood glucose levels are already high before exercise, it may exacerbate the situation, but aerobic exercise itself is not a cause of DKA.
D. Clogged tubing can prevent insulin delivery, leading to insufficient insulin levels. This lack of insulin can result in elevated blood glucose levels and, ultimately, the risk of DKA if not addressed.
E. Not taking enough insulin is a primary cause of DKA in Type 1 diabetes. Without adequate insulin, the body cannot utilize glucose properly, leading to increased fat metabolism and the production of ketones, which can cause DKA.
Correct Answer is B
Explanation
This timing allows for 30 minutes after administration. Since insulin lispro starts working in about 15 minutes, having breakfast at this time ensures that the client’s blood sugar is managed effectively without risking hypoglycemia.
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