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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased lung compliance doesn't directly enhance gas diffusion; it may impair it due to decreased lung expansion.
B. Decreased lung compliance doesn't necessarily indicate compromised pulmonary blood supply; it's more related to the lung's ability to expand and contract.
C. Decreased lung compliance suggests that ventilation may be impaired because the lungs are less able to expand and contract effectively.
D. Decreased lung compliance means the lungs are stiffer, requiring more effort to breathe, thus increasing the work of breathing.
Correct Answer is B
Explanation
A. Testicular torsion typically presents with sudden and severe scrotal pain, often with swelling, and requires immediate medical attention.
B. Infection can cause changes in the color and texture of the scrotal skin, indicating inflammation or other pathological processes.
C. Sexual immaturity and pubertal delay wouldn't typically manifest as changes in the color and texture of the scrotal skin.
D. Pubertal delay might have other signs and symptoms but is unlikely to cause visible changes in the scrotal skin.
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