A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?
"I should trim my toenails straight across and file the edges."
"I should soak my feet in warm water for 15 minutes every day."
"I should wear cotton socks and change them when they are damp."
"I should apply lotion between my toes to prevent dryness."
The Correct Answer is A
Choice A reason:
This is the correct answer because trimming the toenails straight across and filing the edges can prevent ingrown toenails, which can cause infection and complications in clients with peripheral neuropathy.
Choice B reason:
This is incorrect because soaking the feet in warm water for 15 minutes every day can cause maceration, which can increase the risk of skin breakdown and infection in clients with peripheral neuropathy.
Choice C reason:
This is incorrect because wearing cotton socks and changing them when they are damp can cause friction and moisture, which can also increase the risk of skin breakdown and infection in clients with peripheral neuropathy.
Choice D reason:
This is incorrect because applying lotion between the toes can cause fungal growth, which can lead to athlete's foot or other infections in clients with peripheral neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
This is correct because monitoring the client's vital signs and neurological status frequently can help detect any changes in the client's condition, such as improvement or deterioration of symptoms, or complications such as bleeding or increased intracranial pressure.
Choice B reason:
This is correct because administering rtPA within 4.5 hours of symptom onset can increase the chances of restoring blood flow to the ischemic brain tissue and reducing neurological damage. The effectiveness and safety of rtPA decrease after this time window.
Choice C reason:
This is correct because maintaining the client's systolic blood pressure below 180 mm Hg can prevent further ischemia or hemorrhage in the brain. High blood pressure can increase the risk of bleeding or reperfusion injury after thrombolytic therapy.
Choice D reason:
This is incorrect because giving aspirin or other antiplatelet agents along with rtPA can increase the risk of bleeding or hemorrhagic transformation. Antiplatelet agents should be avoided for at least 24 hours after thrombolytic therapy.
Choice E reason:
This is correct because assessing the client for signs of bleeding or hemorrhagic transformation can help identify any adverse effects of thrombolytic therapy. Bleeding or hemorrhagic transformation can manifest as hematuria, hematemesis, melena, petechiae, ecchymosis, epistaxis, gingival bleeding, headache, altered mental status, or worsening neurological deficits.
Correct Answer is D
Explanation
Choice A reason:
This is a correct statement, as the CNS receives sensory information from various receptors in the body and interprets it.
Choice B reason:
This is a correct statement, as the CNS initiates and coordinates motor commands to control voluntary and involuntary movements.
Choice C reason:
This is a correct statement, as the CNS is involved in higher cognitive functions such as memory, learning, reasoning, and emotions.
Choice D reason:
This is an incorrect statement, as this is the function of the PNS. The PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body and transmit sensory and motor signals.
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