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: Loss of the thirst mechanism causes dehydration and hypernatremia, not hyponatremia, as water loss concentrates sodium. Hyponatremia requires excess water or sodium loss, making this choice incorrect for causing low sodium levels.
Choice B reason: Excessive aldosterone secretion causes sodium retention and hypernatremia, as it promotes sodium reabsorption in the kidneys. Hyponatremia involves sodium loss or dilution, not retention, making this choice incorrect for causing hyponatremia.
Choice C reason: Excessive sweating causes loss of sodium-containing fluids, leading to hyponatremia if water is replaced without electrolytes. This depletes serum sodium, disrupting electrolyte balance, making this the correct cause of hyponatremia in this context.
Choice D reason: Prolonged rapid, deep respirations cause respiratory alkalosis, not directly affecting sodium levels. Hyponatremia requires sodium loss or water excess, not respiratory changes, making this choice incorrect for causing low sodium levels.
Correct Answer is A
Explanation
Choice A reason: SIADH causes excessive antidiuretic hormone, leading to water retention and dilutional hyponatremia. Low serum sodium results from increased water reabsorption in the kidneys, causing neurological symptoms, making this the correct manifestation.
Choice B reason: Hyperkalemia is not associated with SIADH, which affects water balance, not potassium. Potassium imbalances occur in adrenal or renal disorders, not SIADH’s water retention mechanism, making this choice incorrect.
Choice C reason: Hyperglycemia is unrelated to SIADH, which involves water retention and sodium dilution. Glucose levels are affected by diabetes, not antidiuretic hormone dysfunction, making this choice incorrect for SIADH manifestations.
Choice D reason: Hypertension may occur in SIADH due to fluid overload, but it is not the primary manifestation. Hyponatremia is more specific, as water retention directly dilutes sodium, making this choice incorrect.
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