The nurse reviews foot care with an older adult client. Why would the nurse feel that foot care is so important to this client?

An older adult client with foot ulcers experiences severe foot pain due to the diabetic polyneuropathy.

Avoiding foot ulcers may mean the difference between institutionalization and continued independent living.

Hypoglycemia is linked with a risk for falls; this risk is elevated in older adults with diabetes.

Oral antihyperglycemics have the possible adverse effect of decreased circulation to the lower extremities.

Answer and Explanation

The Correct Answer is B

A. While foot ulcers can be painful, diabetic polyneuropathy often causes loss of sensation, making ulcers less noticeable rather than more painful.
B. Preventing foot ulcers is critical because complications can lead to infections, amputations, and loss of mobility, potentially resulting in institutionalization; maintaining foot health supports independent living.
C. Hypoglycemia and fall risk are valid concerns in diabetes but are not directly related to foot care.
D. Oral antihyperglycemics do not directly cause decreased circulation; this is more commonly related to underlying vascular disease, not medication side effects.

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Correct Answer is B

Explanation

A. Verbal explanation shows understanding but does not confirm the client can perform the skill correctly.
B. Direct observation allows the nurse to accurately assess the client’s technique, identify any errors, and provide immediate feedback — making it the most effective method.
C. Education is important but does not evaluate the client's skill performance.
D. Hemoglobin A1c reflects long-term glucose control and cannot assess immediate insulin administration competency, especially prior to discharge.

A. Apples B. Fish C. Rice D. Bananas

Correct Answer is D

Explanation

A. Apples are low in potassium and not the best choice for increasing potassium levels.
B. Fish contains some potassium, but the amount varies and may not be sufficient as a primary source for dietary supplementation.
C. Rice is not a significant source of potassium.
D. Bananas are rich in potassium and are commonly recommended to help correct mild hypokalemia through diet.

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The nurse reviews foot care with an older adult client. Why would the nurse feel that foot care is so important to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self- administer insulin?

Correct Answer is B

Explanation

A client's most recent laboratory results show a slight decrease in potassium. The health care provider has opted to forgo drug therapy but has suggested increasing the client's dietary intake of potassium. What should the nurse recommend?

Correct Answer is D

Explanation

A triage nurse is in the emergency room assessing a patient with a longstanding diagnosis of generalized anxiety disorder. The nurse notes upon assessment the client is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?

A nurse is caring for a client who presents to the clinic reporting symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?

It is the end of your 12-hour shift. The patient consumed: 1 cup of coffee, one 3-oz cup of juice, 240 ml of milk, 210 ml of milkshake, 12 ounces of tea, 3 oz of Jello, one 12 oz cola, and 150 ml of water with meds. What is the patient's 12-hour oral intake you will document in ml?

A client with a history of type 1 diabetes has just been admitted to the critical care unit (CCU) for diabetic ketoacidosis. The CCU nurse should prioritize what assessment during the client's initial phase of treatment?

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A nurse is assessing a client admitted to a health care facility with nausea, vomiting. and abdominal cramps and distention. Which test result is most significant?

The nurse reviews foot care with an older adult client. Why would the nurse feel that foot care is so important to this client?