An older adult man diagnosed with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?
Wear well-fitting shoes
Soak the feet in warm water
Apply antifungal powder on the feet
Wear knee-high nylon stockings
The Correct Answer is A
Choice A reason: Wearing well-fitting shoes is a good intervention for the older adult man to reduce his discomfort, as it can prevent pressure, friction, or injury to his feet, which can worsen the burning sensation. The nurse would advise the older adult man to choose shoes that are comfortable, supportive, and breathable, and to avoid shoes that are too tight, too loose, or have high heels or pointed toes.
Choice B reason: Soaking the feet in warm water is not a recommended intervention for the older adult man to reduce his discomfort, as it can dry out his skin, increase the risk of infection, or cause thermal injury if the water is too hot. The nurse would advise the older adult man to wash his feet daily with mild soap and lukewarm water, and to dry them thoroughly, especially between the toes.
Choice C reason: Applying antifungal powder on the feet is not a necessary intervention for the older adult man to reduce his discomfort, unless he has a fungal infection, such as athlete's foot, which can cause itching, burning, or cracking of the skin. The nurse would advise the older adult man to check his feet regularly for any signs of infection, such as redness, swelling, or pus, and to seek medical attention if he has any.
Choice D reason: Wearing knee-high nylon stockings is not a helpful intervention for the older adult man to reduce his discomfort, as it can impair his blood circulation, trap moisture, or irritate his skin. The nurse would advise the older adult man to wear socks that are made of cotton or wool, and to change them daily or whenever they are wet or dirty.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A: "Client slept throughout the night" - Good sleep can be an indicator of effective pain management. Pain can disrupt sleep, so if the client is sleeping well, it may suggest that their pain is being effectively managed¹.
Choice B: "Client cooperative during AM care" - If the client is cooperative during care, it may suggest that they are not in significant pain. Uncontrolled pain can make people irritable and uncooperative¹.
Choice C: "Client ate 80% of breakfast, 70% of lunch and 100% of dinner" - Pain can affect appetite. If the client is eating well, it may suggest that their pain is under control¹.
Choice D: "Client winces only when turned and repositioned" - If the client only shows signs of discomfort during movement, it may suggest that their pain is generally well-controlled¹.
Choice E: "Client slept during dressing change" - This is not necessarily an indicator of effective pain management. The client could be sleeping due to fatigue, medication effects, or other reasons unrelated to their pain level¹.
Correct Answer is ["A","B"]
Explanation
Choice A reason: Sunken eyes are a sign of dehydration because the fluid loss causes the eyes to lose their shape and appear hollow. This is especially noticeable in older adults who have less fat and muscle around the eyes.
Choice B reason: Lower extremity weakness is a sign of dehydration because the fluid loss affects the blood volume and circulation, leading to reduced oxygen and nutrient delivery to the muscles. This can cause muscle fatigue, cramps, and weakness.
Choice C reason: High fever is not a sign of dehydration, but rather a possible cause of dehydration. Fever increases the body temperature and metabolic rate, which leads to increased sweating and fluid loss. However, fever itself does not indicate dehydration, unless it is accompanied by other signs and symptoms.
Choice D reason: Cough is not a sign of dehydration, but rather a possible cause of dehydration. Coughing can cause fluid loss through the respiratory tract, especially if it is productive or associated with vomiting. However, cough itself does not indicate dehydration, unless it is accompanied by other signs and symptoms.
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