A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation facility following treatment for a stroke with resulting right hemiplegia. The client reports his feet feel uncomfortably cool at night, preventing him from falling asleep. Which action should the nurse implement?

Use a bed cradle to hold the covers off feet.

Provide a warming pad (Aqua-pad or K-pad) to feet.

Place warm blankets next to the client’s feet.

Medicate the client with a prescribed sedative.

Answer and Explanation

The Correct Answer is B

Choice A reason: Using a bed cradle to hold the covers off feet is not a good option for a client with DM and right hemiplegia, because it can increase the risk of injury and infection to the feet. The client may have reduced sensation and circulation in the feet due to diabetic neuropathy and peripheral vascular disease, which can make the feet more prone to ulcers, gangrene, and amputation. The client should keep the feet covered and protected from pressure and trauma.

Choice B reason: Providing a warming pad (Aqua-pad or K-pad) to feet is the best option for a client with DM and right hemiplegia, because it can help improve the blood flow and comfort to the feet. The warming pad is a device that circulates warm water or air through a pad that is placed on the skin. The nurse should monitor the temperature and duration of the warming pad, and check the skin for signs of burns or blisters.

Choice C reason: Placing warm blankets next to the client’s feet is not a reliable option for a client with DM and right hemiplegia, because it may not provide enough warmth and may slip off during the night. The client may not be able to adjust the blankets due to the hemiplegia, which can affect the movement and strength of the right side of the body. The client may also have difficulty feeling the blankets due to the neuropathy.

Choice D reason: Medicating the client with a prescribed sedative is not a suitable option for a client with DM and right hemiplegia, because it does not address the underlying cause of the cool feet, and may have adverse effects on the client’s condition. The sedative may interact with the client’s other medications, such as insulin or oral hypoglycemics, and cause hypoglycemia, which can worsen the stroke recovery. The sedative may also cause respiratory depression, which can affect the oxygen delivery to the brain and the feet.

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Correct Answer is B

Explanation

Choice A reason: Overall fluid intake should not be limited, but rather increased, for a client with urinary tract calculi. Increasing fluid intake can help flush out the stones and prevent new ones from forming.

Choice B reason: Tea and hot chocolate should be limited, because they contain oxalates, which can increase the risk of calcium oxalate stones, the most common type of urinary tract calculi. Other foods high in oxalates include spinach, rhubarb, nuts, and chocolate.

Choice C reason: Low-sodium soups are not a problem for a client with urinary tract calculi, unless they have other conditions that require sodium restriction, such as hypertension or heart failure. Sodium intake does not directly affect the formation of stones, but it can increase calcium excretion in the urine, which can contribute to calcium oxalate stones.

Choice D reason: Citrus fruit juices are beneficial for a client with urinary tract calculi, because they contain citrate, which can prevent the crystallization of calcium and oxalate in the urine. Citrate can also help dissolve existing stones and prevent new ones from forming.

A. Joint pain. B. Hematuria. C. Low grade fever. D. Muscle atrophy.

Correct Answer is B

Explanation

Choice A reason: Joint pain is a common symptom of SLE, which is an autoimmune disease that causes inflammation and damage to various organs and tissues. Joint pain can be managed with anti-inflammatory drugs, analgesics, and corticosteroids. Joint pain is not a life-threatening finding that requires immediate attention from the health care provider.

Choice B reason: Hematuria is the presence of blood in the urine, which can indicate kidney damage or failure. Kidney involvement is one of the most serious complications of SLE, which can lead to end-stage renal disease and require dialysis or transplantation. Hematuria is a critical finding that requires prompt intervention and treatment from the health care provider.

Choice C reason: Low grade fever is another common symptom of SLE, which can be caused by infection, inflammation, or medication side effects. Low grade fever can be treated with antipyretics, fluids, and antibiotics if needed. Low grade fever is not a life-threatening finding that requires immediate attention from the health care provider.

Choice D reason: Muscle atrophy is the loss of muscle mass and strength, which can occur due to inactivity, malnutrition, or steroid use. Muscle atrophy can be prevented or reversed with exercise, nutrition, and physiotherapy. Muscle atrophy is not a life-threatening finding that requires immediate attention from the health care provider.

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Naxlex Comprehensive Predictor Exams

A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing food intake, the nurse should include which type of fluid limitation?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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