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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Incorrect. Hepatitis and HIV (the virus that causes AIDS) are both transmitted through blood, but strict protocols and sterile equipment prevent transmission during blood donation. Saying hepatitis is possible but AIDS is not is misleading.
B. Incorrect. Special handling of blood is unnecessary and does not affect the safety of the donation process for the donor.
C. Incorrect. Minimizing the risk by saying "very small chance" is inaccurate and could cause unnecessary concern. The risk to the donor is effectively zero due to sterile needles and single-use equipment.
D. Correct. Blood donation is a safe procedure for the donor because sterile, single-use needles are used, eliminating any risk of contracting a disease.

A. Advise increasing milk or milk products in the diet to provide stool bulk. B. Encourage physical activity to improve bowel regularity. C. Advise decreasing dietary fiber in the diet to enhance stooling. D. Suggest use of warm compresses on the abdomen to increase gastrointestinal motility.

Correct Answer is B

Explanation

A. Increasing milk or milk products is not recommended because dairy can sometimes contribute to constipation rather than relieve it.
B. Encouraging physical activity is the best intervention to improve bowel regularity and decrease the risk of constipation by stimulating intestinal motility.
C. Decreasing dietary fiber would worsen constipation, as fiber adds bulk to stool and promotes regular bowel movements.
D. Warm compresses on the abdomen may provide comfort but do not significantly increase gastrointestinal motility to prevent constipation.

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Which client is most at risk for foot difficulties?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse if it is possible to contract a disease by donating blood. How would the nurse respond?

Correct Answer is D

Explanation

The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

Correct Answer is B

Explanation

A client has been prescribed a clear liquid diet. Which food or fluids should the nurse serve the client?

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