A client with diabetic peripheral neuropathy receives a new prescription for pregabalin.
To assess the effectiveness of the medication, which action should the practical nurse (PN) include when assessing the client’s feet?
Palpate temperature of skin.
Check the amount of swelling.
Measure pain and sensation.
Observe for healing of ulcers.
The Correct Answer is C
The correct answer is Choice C, Measure pain and sensation. Pregabalin is a medication used to treat nerve pain, including diabetic peripheral neuropathy. Its effectiveness can be assessed by measuring changes in pain and sensation in the feet. While the other options may be part of a comprehensive foot assessment, they are not directly related to the effectiveness of pregabalin for nerve pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Misoprostol is a medication used to prevent stomach ulcers in patients who take nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen over a long period. NSAIDs can cause stomach ulcers, and misoprostol works by reducing the amount of acid in the stomach and replacing the protective substances in the stomach that are reduced by NSAIDs. Therefore, relief of epigastric pain (pain in the upper middle part of the abdomen) would indicate that the medication is effective.
Correct Answer is B
Explanation
Choice A rationale
Encouraging the patient to share his concerns about the care plan is important, but it does not directly address the patient’s question about why his temperature is being taken.
Choice B rationale
Promethazine is a medication that can cause a variety of side effects, including changes in body temperature. Therefore, monitoring the patient’s temperature can help assess for potential side effects of the medication. This is the most direct and relevant response to the patient’s question.
Choice C rationale
While it’s true that vital signs are often taken routinely, this does not specifically address why the patient’s temperature is being taken in this particular instance, four hours after
administering promethazine.
Choice D rationale
While promethazine can affect body temperature, it is not primarily used to lower body
temperature. Therefore, explaining that the medication works to lower body temperature may not be entirely accurate or relevant in this context.
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