Which client is most at risk for foot difficulties?
91-year-old man with renal insufficiency
45-year-old woman with type 2 diabetes
34-year-old woman who is paraplegic
80-year-old man with coronary artery disease
The Correct Answer is B
A. Renal insufficiency does not directly increase risk for foot problems as much as diabetes does.
B. Type 2 diabetes significantly increases the risk of foot difficulties due to potential neuropathy and poor circulation, making this client most at risk.
C. Paraplegia increases risk for skin breakdown but diabetes poses a higher risk for foot ulcers and infections.
D. Coronary artery disease affects the heart but is less directly linked to foot complications compared to diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A client who had pain without relief is more likely to have increased anxiety and a heightened pain response due to negative past experiences.
B. Chronic pain often leads to increased sensitivity and emotional distress over time, not necessarily decreased anxiety.
C. A client who experienced pain with adequate relief in the past is more likely to have positive expectations about pain management and feel less anxious, which can reduce the overall pain experience.
D. Multiple pain experiences do not guarantee decreased anxiety; if those experiences were negative or poorly managed, the client might actually have increased anxiety and sensitivity to pain.
Correct Answer is C
Explanation
A. Delegation guidelines may be influenced by organizational policy but are often based on state nurse practice acts.
B. Medicare and Medicaid qualification criteria are defined at the federal level, not state.
C. Scope of practice differences between registered nurses and licensed practical nurses are established by state legislation, which regulates nursing practice within the state.
D. Medication administration processes can be guided by federal laws and facility policies but are also regulated by state laws; however, the clear differentiation of scope of practice is specifically legislated at the state level.
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