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."

Answer and Explanation

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.

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Correct Answer is ["12.5"]

Explanation

1 kilogram equals 2.2 pounds.

110 lbs, which is equivalent to 50 kg (110 lbs / 2.2).

The prescribed dose is 2 mg/kg/day, so the total daily dose is 100 mg (2 mg/kg * 50 kg). This total daily dose is divided into four doses, which means each dose is 25 mg (100 mg / 4).

The medication is supplied as 10 mg/5 mL, so for a 25 mg dose, the nurse will administer 12.5 mL (25 mg * (5 mL / 10 mg)). Therefore, the nurse will administer 12.5 mL per dose.

A. "I noticed that the hair on my feet and on my legs, is gone." B. "My legs were so cold I had to put a heating pad on them." C. "My legs start to hurt when I walk to get my mail." D. "My feet look reddish when I put them down."

Correct Answer is B

Explanation

A. Loss of hair on the lower extremities can be a common sign of chronic PAD, indicating reduced blood
flow. While it’s an important observation, it is not an immediate concern.
B. Cold legs can indicate poor blood flow, which is a significant concern in PAD. The use of a heating pad can pose a risk of burns due to impaired sensation, especially in clients with poor circulation. This statement warrants immediate intervention, as the nurse should educate the client against using heat sources that can cause injury and assess the client's circulation and potential complications.
C. This describes claudication, a common symptom of PAD, where pain occurs in the legs due to inadequate blood flow during physical activity. While it indicates worsening symptoms of PAD, it is not an immediate emergency.
D. Reddish discoloration (rubor) when the legs are dependent can indicate blood pooling due to decreased venous return or arterial insufficiency. While this observation is significant and requires monitoring, it is not as urgent as the concern related to using a heating pad.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["12.5"]

Explanation

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