George, 65, has a 10-year history of diabetes mellitus. He complains of tingling sensations and numbness in his feet. His HbA1c is 9%, and a monofilament test reveals a loss of sensation. Which of the following interventions should be prioritized?

Start George on antiepileptic drugs for neuropathic pain

Initiate immediate dialysis to manage neuropathy

Administer a bolus of rapid-acting insulin

Teach George about foot care and daily foot inspections

Answer and Explanation

The Correct Answer is D

A. While antiepileptic drugs are sometimes used to manage neuropathic pain, the priority in George's case is preventing complications related to diabetic neuropathy.
B. Dialysis is not indicated for neuropathy management.

C. While managing blood glucose levels is important in diabetes management, immediate insulin administration may not be necessary unless George is experiencing hyperglycemic crisis.
D. This is the priority intervention to prevent complications such as diabetic foot ulcers and infections.

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Correct Answer is A, B ,C ,D

No explanation

A. Weekly use of tanning booth B. Dysplastic nevi C. Family history of melanoma D. Fair skin and blue eyes

Correct Answer is A

Explanation

A. The nurse should focus on teaching Paul about the dangers of using a tanning booth weekly, as this is the risk factor that he can modify. A tanning booth exposes the skin to artificial ultraviolet (UV) radiation, which can damage the DNA of skin cells and increase the risk of developing malignant melanoma.
B. Dysplastic nevi (atypical moles) are also a nonmodifiable risk factor for melanoma.

C. Family history of melanoma is a non-modifiable risk factor for melanoma unlike weekly use of a tanning booth which is modifiable.
D. Fair skin and blue eyes are additional risk factors for melanoma, but is non- modifiable.

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George, 65, has a 10-year history of diabetes mellitus. He complains of tingling sensations and numbness in his feet. His HbA1c is 9%, and a monofilament test reveals a loss of sensation. Which of the following interventions should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nurse Sarah is triaging patients in the ER. Match each presenting symptom to the condition it is most commonly associated with.

Correct Answer is A, B ,C ,D

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Correct Answer is A

Explanation

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