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."

Answer and Explanation

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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Correct Answer is A

Explanation

A. Clients with PAD often experience claudication (pain in the legs due to inadequate blood flow) during exercise. They should be encouraged to walk to the point of pain, then rest until the pain subsides, and then continue walking. This approach can improve circulation over time.
B. While it’s crucial to monitor leg ulcers, exercise can still be beneficial unless advised otherwise by a healthcare provider. Walking can promote circulation, which is important for healing. However, if a leg ulcer is present, the client should consult their healthcare provider about appropriate activity levels.
C. While elevating the feet can help reduce swelling, it's generally more beneficial for clients with PAD to keep their legs in a dependent position after walking. This position encourages blood flow to the legs, which can help alleviate symptoms and improve circulation.
D. Exercise that encourages movement and maintains blood flow to the legs is important for those with PAD. While certain positions may exacerbate symptoms, exercises like walking should be encouraged. Keeping the feet in a dependent position can help with blood flow post-exercise.

A. Complete all doses of metronidazole in your prescription B. Do not drink alcohol while taking metronidazole and for 2 days after you finish the pills. C. Use a barrier form of contraception while taking medication D. Strain all urine for crystal fragments E. The drug may change your urine's color to pale yellow

Correct Answer is ["A","B","C"]

Explanation

A. This statement is correct and crucial. Completing the full course of antibiotics is essential to ensure the infection is fully treated and to prevent antibiotic resistance.
B. Metronidazole can cause a disulfiram-like reaction (similar to what occurs with alcohol and disulfiram) if alcohol is consumed during treatment or shortly after. Symptoms can include flushing, nausea, vomiting, and palpitations.
C. Metronidazole can potentially reduce the effectiveness of hormonal contraceptives. Using a barrier method, like condoms, can help prevent unintended pregnancy during treatment.
D. This statement is not necessary. Metronidazole is not typically associated with crystalluria or the need to strain urine for crystal fragments. This instruction does not apply to this medication.
E. This statement is inaccurate. While metronidazole can cause darkening of the urine, it is not specifically known to change urine to pale yellow. Typically, discoloration could be more of a brown or dark color, and pale yellow is not a common effect of this medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client who is diagnosed with peripheral arterial disease about the benefits of walking to exercise. What information should the nurse reinforce with this client?

Correct Answer is A

Explanation

A client is prescribed metronidazole, an antimicrobial agent, orally for 10 days. When performing discharge teaching, which statement(s) should be included in the instruction? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

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