A client diagnosed with diabetes has severe peripheral neuropathy, resulting in numbness and reduced sensation. Which intervention should the nurse teach the client to prevent injury as a result of this complication?
"Wear socks when walking in the house."
"Wear sandals with a flat heel."
"Use a bath thermometer to test water temperature."
"Examine your feet daily."
The Correct Answer is C
A. While this can help protect the feet from minor injuries, it doesn't directly address the risk of burns from hot water.
B. This can be helpful for foot health, but it doesn't protect against burns.
C. This is the most effective way to prevent burns, as individuals with peripheral neuropathy may not be able to feel the heat of the water.
D. This is important for identifying cuts, sores, or other foot problems, but it doesn't directly prevent burns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While taking vital signs can provide useful information about the client's overall condition, it does not directly address the immediate concern of potential hypoglycemia. The priority is to assess blood glucose levels, as this will guide further actions.
B. Glucagon is used for severe hypoglycemia when the client is unable to consume glucose orally. However, before administering glucagon, it is essential to confirm hypoglycemia by checking the blood glucose level. This ensures that glucagon is only used when absolutely necessary.
C. Checking the blood glucose level will quickly determine whether the client is experiencing hypoglycemia. If the blood glucose is low, appropriate treatment (such as administering glucose or a fast-acting carbohydrate) can be initiated. If it’s within normal limits, other potential causes for the symptoms can be explored.
D. While it may be necessary to notify the physician depending on the outcome of the blood glucose reading or if the client’s condition worsens, it is not the first action. Immediate assessment of blood glucose is essential to determine the appropriate course of action.
Correct Answer is ["B","C"]
Explanation
A. While maintaining adequate hydration is important for overall health and can help the kidneys function properly, this statement alone does not capture the full scope of kidney-related issues associated with diabetes, such as diabetic nephropathy. It’s important to emphasize regular monitoring of kidney function through lab tests (e.g., microalbuminuria) as part of diabetes management.
B. People with diabetes are at increased risk for eye complications such as diabetic retinopathy, cataracts, and glaucoma. Regular eye exams are essential for early detection and management of these conditions, making this information critical for a client with diabetes.
C. Many sources recommend at least annual foot exams, but those with neuropathy or previous foot problems may need more frequent evaluations (every 3 to 6 months). This statement is generally accurate but should be tailored to the individual's risk factors.
D. Regular physical activity is generally recommended for individuals with diabetes as it improves insulin sensitivity, helping to manage blood glucose levels. While extreme exercise without proper management can lead to complications, stating that excessive exercise increases insulin resistance is misleading. The key is to balance exercise with proper nutrition and medication.
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