What action should a person with peripheral neuropathy take to prevent injury?
Check the water temperature before submersion of the feet.
Ask the healthcare provider to conduct an electromyogram (EMG).
Take prescribed pain and inflammation medications.
Wear open-toed sandals to prevent any injuries.
The Correct Answer is A
Choice A reason: Peripheral neuropathy impairs sensation, increasing burn risk from hot water. Checking water temperature prevents thermal injuries, as patients may not feel extreme temperatures, protecting insensate feet from damage, making this the correct preventive action.
Choice B reason: An electromyogram (EMG) diagnoses neuropathy by assessing nerve function but does not prevent injury. It is a diagnostic tool, not a protective measure against physical harm, making this choice incorrect for injury prevention.
Choice C reason: Pain and inflammation medications manage neuropathy symptoms but do not prevent physical injuries like cuts or burns. They address discomfort, not sensory loss, which is the primary injury risk, making this choice incorrect.
Choice D reason: Open-toed sandals expose feet to injury, increasing risk in neuropathy due to poor sensation. Closed-toe shoes protect against trauma, making this choice incorrect for preventing injuries in peripheral neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Decreased hydrostatic pressure reduces fluid movement out of capillaries, favoring fluid return to the intravascular space. Low plasma proteins affect oncotic, not hydrostatic, pressure, causing fluid to leak into tissues, not return to vessels, making this incorrect.
Choice B reason: Increased hydrostatic pressure, as in heart failure, pushes fluid into the interstitial space. Low plasma proteins reduce oncotic pressure, not hydrostatic, leading to edema via a different mechanism, making this choice incorrect for the described scenario.
Choice C reason: Low plasma proteins, like albumin, decrease oncotic (osmotic) pressure, reducing the force pulling fluid into capillaries. This causes fluid to move from the intravascular to the interstitial space, leading to edema, making this the correct choice.
Choice D reason: Increased osmotic pressure would pull fluid into the intravascular space, as with high plasma protein levels. Low plasma proteins decrease oncotic pressure, causing fluid to leak into tissues, not return to vessels, making this choice incorrect.
Correct Answer is D
Explanation
Choice A reason: A metabolic deficit of dystrophin causing muscle cell necrosis describes muscular dystrophy, not osteoarthritis. Osteoarthritis involves joint cartilage degradation, not muscle pathology. Dystrophin deficiency affects muscle fiber integrity, unrelated to the joint-specific degenerative process of osteoarthritis, making this choice incorrect.
Choice B reason: Bone infection, or osteomyelitis, is caused by bacteria or fungi, leading to bone destruction. Osteoarthritis is a non-infectious degenerative condition affecting cartilage and subchondral bone due to mechanical stress and aging, not infection, making this choice incorrect for osteoarthritis’s pathophysiology.
Choice C reason: Loss of bone matrix causing fragile bones describes osteoporosis, not osteoarthritis. Osteoarthritis primarily involves cartilage breakdown and joint inflammation, with secondary bone changes like osteophytes, not systemic bone density loss, making this choice incorrect for the joint-focused pathology.
Choice D reason: Osteoarthritis is a degenerative joint disease characterized by progressive cartilage loss due to mechanical stress, inflammation, and aging. This leads to joint pain, stiffness, and bone remodeling, such as osteophyte formation, accurately describing the pathophysiology and making this the correct choice.
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