Which is the highest priority intervention for a patient with diabetic neuropathy who has lost sensation in both feet?

Teach the patient to wear low-heeled, comfortable, supportive footwear at all times.

Encourage the patient to participate in tai chi exercises to promote balance.

Evaluate the patient's blood pressure for orthostatic hypotension.

Instruct the patient to wear a medical alert bracelet that identifies risk for falls.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is correct. Teaching the patient to wear low-heeled, comfortable, supportive footwear at all times is the highest priority intervention for a patient with diabetic neuropathy who has lost sensation in both feet. This can prevent foot injuries, ulcers, and infections that can lead to amputation.

Choice B reason: This is incorrect. Encouraging the patient to participate in tai chi exercises to promote balance is a beneficial intervention for a patient with diabetic neuropathy who has lost sensation in both feet, but not the highest priority. Tai chi can improve muscle strength, coordination, and flexibility, but it does not protect the feet from injury.

Choice C reason: This is incorrect. Evaluating the patient's blood pressure for orthostatic hypotension is an important intervention for a patient with diabetic neuropathy who has lost sensation in both feet, but not the highest priority. Orthostatic hypotension is a condition where the blood pressure drops when the patient changes position, causing dizziness and fainting. It can be caused by autonomic neuropathy, which affects the nerves that control blood pressure and heart rate.

Choice D reason: This is incorrect. Instructing the patient to wear a medical alert bracelet that identifies risk for falls is a helpful intervention for a patient with diabetic neuropathy who has lost sensation in both feet, but not the highest priority. A medical alert bracelet can alert emergency personnel of the patient's condition and medications, but it does not prevent falls or foot injuries.

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Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

Choice A reason: This is incorrect. Tramadol is not a nonsteroidal anti-inflammatory medication. Tramadol is an opioid analgesic medication that works by binding to opioid receptors in the brain and spinal cord. It can relieve moderate to severe pain, but it does not have any anti-inflammatory effect.

Choice B reason: This is correct. Aspirin is a nonsteroidal anti-inflammatory medication. Aspirin is a salicylate medication that works by inhibiting the enzyme cyclooxygenase, which is involved in the synthesis of prostaglandins. Prostaglandins are chemical messengers that mediate inflammation, pain, and fever. Aspirin can reduce inflammation, pain, and fever, as well as prevent blood clots and protect the heart.

Choice C reason: This is incorrect. Acetaminophen is not a nonsteroidal anti-inflammatory medication. Acetaminophen is a para-aminophenol medication that works by inhibiting the enzyme cyclooxygenase in the central nervous system, but not in the peripheral tissues. It can reduce pain and fever, but it does not have any anti-inflammatory effect.

Choice D reason: This is correct. Ibuprofen is a nonsteroidal anti-inflammatory medication. Ibuprofen is a propionic acid medication that works by inhibiting the enzyme cyclooxygenase, which is involved in the synthesis of prostaglandins. Prostaglandins are chemical messengers that mediate inflammation, pain, and fever. Ibuprofen can reduce inflammation, pain, and fever, as well as treat arthritis and menstrual cramps.

Choice E reason: This is incorrect. Codeine is not a nonsteroidal anti-inflammatory medication. Codeine is an opioid analgesic medication that works by binding to opioid receptors in the brain and spinal cord. It can relieve mild to moderate pain, but it does not have any anti-inflammatory effect.

A. Chronic B. Psychogenic C. Referred D. Peripheral

Correct Answer is C

Explanation

Choice A reason: This is incorrect. Chronic pain is not a type of pain, but a duration of pain. Chronic pain is pain that lasts longer than six months, regardless of the cause or location. It can affect the patient's physical and mental health, as well as their quality of life.

Choice B reason: This is incorrect. Psychogenic pain is not a type of pain, but a source of pain. Psychogenic pain is pain that is caused or influenced by psychological factors, such as stress, anxiety, depression, or trauma. It can affect any part of the body, but it is not related to the patient's heart attack.

Choice C reason: This is correct. Referred pain is pain that is felt in a different location from the actual source of pain. It occurs when the nerve fibers from different parts of the body converge in the spinal cord or brain. The patient's pain is down his left arm rather than in his chest because the heart and the arm share some nerve pathways.

Choice D reason: This is incorrect. Peripheral pain is pain that is caused by damage or dysfunction of the peripheral nervous system, which consists of the nerves outside the brain and spinal cord. It can cause sensations of numbness, tingling, burning, or shooting pain in the affected area. It is not related to the patient's heart attack.

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Which is the highest priority intervention for a patient with diabetic neuropathy who has lost sensation in both feet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which medications are classified as nonsteroidal anti-inflammatory medications? (Select all that apply)

Correct Answer is ["B","D"]

Explanation

The nurse is caring for a patient who is having a heart attack. The patient tells the nurse that the pain is down his left arm rather than in his chest. What type of pain is the patient experiencing?

Correct Answer is C

Explanation

Which type of error is it when the wrong type of medication is administered to the patient?

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Which assessment findings lead the nurse to clarify the order for ibuprofen 600 mg PO every 8 hours? (Select all that apply.)

The nurse applies a warmed blanket to a chilled patient. Which term is used to describe the process by which the blanket increases the patient’s temperature?