A nurse is educating a patient with Type 2 diabetes mellitus and peripheral neuropathy. What advice should the nurse give?
Shoes should be worn outside the house, but it is fine to be barefoot inside.
Family members can assist with regular foot exams.
Heating pads are useful if used on the lowest setting.
Aching feet may be soaked in lukewarm water for one hour or more.
The Correct Answer is B
Choice A rationale
While it’s important for patients with peripheral neuropathy to protect their feet, it’s recommended that they wear shoes at all times to prevent injury. Being barefoot, even inside the house, can increase the risk of foot injuries.
Choice B rationale
Regular foot exams are crucial for patients with peripheral neuropathy. Family members can assist with these exams, helping to identify any changes or injuries that may require medical attention.
Choice C rationale
Heating pads are not typically recommended for patients with peripheral neuropathy. Due to the loss of sensation in their feet, they may not realize if the pad is too hot, which could lead to burns.
Choice D rationale
Soaking feet in lukewarm water for extended periods is not typically recommended for patients with peripheral neuropathy. Prolonged exposure to water can dry out the skin and increase the risk of injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
For a client with emphysema who will be discharged with oxygen, understanding the guidelines for oxygen use is crucial. Misuse of oxygen can lead to serious health complications, so it’s important that the client knows how to use it correctly.
Choice B rationale
While energy conservation approaches can be beneficial for a client with emphysema, they are not as crucial as understanding the guidelines for oxygen use.
Choice C rationale
While smoking cessation strategies are important for a client with emphysema, especially one who smokes heavily, they are not as crucial as understanding the guidelines for oxygen use.
Choice D rationale
While weight loss methods can be beneficial for an obese client, they are not as crucial as understanding the guidelines for oxygen use for a client with emphysema who will be discharged with oxygen.
Correct Answer is C
Explanation
Choice A rationale
A CT scan of the chest can be performed to detect the severity of infection in pneumonia. However, it is not typically the first diagnostic test prescribed. It is usually recommended if the pneumonia isn’t clearing as quickly as expected.
Choice B rationale
Arterial blood gases (ABG) can be used to measure the oxygen level in your blood. Pneumonia can prevent your lungs from moving enough oxygen into your bloodstream. However, ABG is not typically the first diagnostic test prescribed for pneumonia.
Choice C rationale
A sputum culture test is often used to confirm the cause of infection in pneumonia. This test involves taking a sample of fluid from your lungs (sputum) after a deep cough and analyzing it to help pinpoint the cause of the infection.
Choice D rationale
Blood cultures can identify the germ causing your pneumonia and also show whether a bacterial infection has spread to your blood. However, they are not typically the first diagnostic test prescribed for pneumonia.
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