Invasive cancers can leave the site where they begin and move to another site in the body where they attack a different organ system, this is known as actions is the most important for the nurse to include in the teaching?
"Wear closed-toed shoes daily."
"Maintain stable blood glucose levels."
"Examine your feet carefully every day."
"Plan to have an eye examination once per year."
Correct Answer : C,D
A. Diabetic clients should not remove callouses themselves due to the risk of cuts or infections, which can lead to serious complications. Callous removal should be done by a healthcare professional (e.g., a podiatrist).
B. Toenails should be cut straight across, not at an angle, to prevent ingrown toenails, which can become infected and are especially dangerous for individuals with diabetes.
C. Daily foot inspection helps detect early signs of skin breakdown, blisters, or infections. Early detection is crucial because diabetes can reduce sensation and blood flow, delaying wound healing.
D. Diabetes increases the risk of eye conditions such as diabetic retinopathy, glaucoma, and cataracts. Annual eye exams are essential for early detection and treatment to prevent vision loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Prunes and apricots are natural laxatives rich in fiber and sorbitol, which help stimulate bowel movements. This is a safe, non-invasive first-line intervention for opioid-induced constipation.
B. While increasing fluids is helpful for constipation, it is often not sufficient alone when opioids cause decreased gut motility.
C. Enemas are more invasive and should be reserved for when conservative measures (dietary changes, fluids, stool softeners) fail.
D. While reporting is important if constipation worsens or is severe, initial interventions can be implemented by the nurse first.
Correct Answer is D
Explanation
A. Lorazepam is a benzodiazepine, and its effects are reversed with flumazenil, not naloxone.
B. Warfarin is an anticoagulant, and its antidote is vitamin K, not naloxone.
C. Valproic acid is an antiepileptic medication, and naloxone has no role in reversing its effects.
D. Fentanyl is a potent opioid analgesic, and naloxone (Narcan) is an opioid antagonist that reverses opioid-induced respiratory depression, sedation, and hypotension
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