A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

"I'll check my feet every day for sores and bruises."

"I'll soak my feet in cool water every night before I go to bed."

"I'll put lotion between my toes after drying my feet."

"I'll wear sandals in warm weather."

Answer and Explanation

The Correct Answer is A

This statement indicates that the client understands the importance of daily foot inspections to prevent complications, which is crucial for individuals with diabetes due to their increased risk of foot ulcers and infections stemming from high blood sugar levels. The client's understanding of the need for daily foot checks demonstrates a grasp of essential diabetic foot care principles.
B- It is not advisable because soaking feet can lead to skin breakdown, increasing the risk of infection.
C- It is incorrect because putting lotion between toes can cause excessive moisture, which can also lead to infections.
D- while it may seem reasonable, is not the best practice as wearing sandals can expose the feet to injuries and does not provide the necessary support and protection. Soaking the feet in water increases risk of infections

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Correct Answer is A

Explanation

Rationale- the most appropriate action for a nurse to plan would be to increase the client's fluid intake. This action helps to restore the fluid volume in the body, thereby improving blood pressure levels.
Proper hydration is crucial in dehydrated and hypotensive clients.
B- The Valsalva maneuver is not typically recommended for hypotension as it can further decrease blood pressure.
C- Elevating the head of the bed is generally advised for clients with respiratory issues, not primarily for those with hypotension. Guided imagery can be a useful tool for relaxation but does not directly address the immediate physiological needs of dehydration and hypotension.
D- Relaxation does not solve the client’s issues

A. Lactated Ringer's B. 0.45% sodium chloride C. Dextrose 5% in 0.9% sodium chloride D. Dextrose in water

Correct Answer is C

Explanation

C-Dextrose 5% in 0.9% sodium chloride is the most appropriate fluid for the client as it supplies both caloric, fluid and electrolytes at the same time. This ensures that the client does not go into hypoglycemia and the sodium is lowered

A- Lactated Ringer's and Dextrose 5% in 0.9% sodium chloride are isotonic and hypertonic solutions, respectively, and would not be appropriate choices for treating hypernatremia due to their higher sodium content.

B- The goal is to lower the serum sodium concentration carefully by providing a hypotonic solution. In this case, 0.45% sodium chloride is often recommended as it is a hypotonic fluid and can help to correct the sodium imbalance without overloading the client with sodium. the client requires a fluid with dextrose due to the NPO status and low sodium concentration

D- Dextrose in water (option D) is also hypotonic once the dextrose is metabolized, but it may not be as effective in this scenario as it does not contain electrolytes. The water can tip the client to hyponatremia

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A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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