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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Skipping meals can lead to fluctuations in blood glucose and increase the risk of hypoglycemia, especially when insulin is still active.
B. Insulin dosing may need to be adjusted based on blood glucose levels, carbohydrate intake, and physical activity. Fixed dosing without adjustment can lead to poor control.
C. Adhering to a consistent meal plan and schedule helps maintain steady blood glucose levels and aligns insulin action with food intake, promoting better glucose control.
D. Eliminating carbohydrates is not recommended. Carbohydrates are essential for energy, and the focus should be on consistent, healthy carb intake rather than complete elimination.
Correct Answer is A
Explanation
A. Cardiac dysrhythmias are a serious complication of hypokalemia (potassium <3.5 mEq/L), especially in clients taking loop diuretics like furosemide, which increase potassium excretion. Monitoring heart rhythm is essential.
B. Hypoglycemia is not directly associated with low potassium or furosemide.
C. Seizures are more commonly linked to hyponatremia or severe hypocalcemia, not mild hypokalemia.
D. Neurogenic shock is typically caused by spinal cord injury, not by electrolyte imbalance.
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