The nurse is caring for a client who has peripheral neuropathy who has developed a foot ulcer. The client's caregiver asks, "How could this have happened?" What is the nurse's best response(s)? (Select all that apply)
"Peripheral neuropathy occurs due to uncontrolled hypoglycemia, you may need to decrease your insulin."
"Decreased sensations of pain and temperature can increase your risk of undetected foot infections."
"As neuropathy progresses, feet become numb and you may not have noticed this in it's early stages."
"Foot ulcers do not occur with peripheral neuropathy, only with peripheral vascular disease".
"Peripheral neuropathy occurs due to elevated blood glucose levels over a period of years.
Correct Answer : B,C,E
A. Peripheral neuropathy is associated with chronic hyperglycemia, not hypoglycemia. Decreasing insulin would worsen blood glucose control and neuropathy risk.
B. Loss of protective sensation (pain, temperature, pressure) predisposes the client to unnoticed injuries and subsequent infections.
C. As neuropathy progresses, numbness and impaired sensation increase the risk of foot ulcers going unnoticed until they worsen.
D. Peripheral neuropathy is a leading cause of diabetic foot ulcers; it is not limited to vascular disease alone.
E. Chronic hyperglycemia over years damages nerves, leading to neuropathy and increased ulcer risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clients with cholecystitis should follow a low-fat diet and avoid fried, greasy, or high-fat foods to reduce gallbladder stimulation and prevent painful episodes.
B. A diet high in cholesterol and salt worsens gallbladder disease and is not recommended.
C. Eggs and cheese are high in fat and can trigger biliary colic.
D. A high-calorie, low-protein diet is not appropriate and may worsen maternal and fetal outcomes.
Correct Answer is D
Explanation
A. A Monospot test is used to detect infectious mononucleosis, which is unrelated to chronic ear infections.
B. MRI is generally reserved for evaluating structural abnormalities, tumors, or complications, not routine chronic otitis media.
C. Lumbar puncture is used to diagnose central nervous system infections or conditions like meningitis, not ear infections.
D. Chronic otitis media can lead to hearing loss or speech delays. An audiology consult is appropriate to assess the child’s hearing and determine if further intervention, such as hearing aids or surgical options, is needed.
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