A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)

Localized edema.

An increase in neutrophils.

An increase in platelets.

Bradycardia.

An increase in RBCS.

Answer and Explanation

Correct Answer : A,B

Choice A rationale:
Localized edema is a common sign of infection. The body sends extra fluid to the area as part of the inflammatory response.
Choice B rationale:
An increase in neutrophils, a type of white blood cell, is a common response to infection. Neutrophils are part of the body’s immune response and work to fight off invading bacteria.
Choice C rationale:
An increase in platelets is not typically associated with infection. Platelets are involved in blood clotting, not the immune response.
Choice D rationale:
Bradycardia, or a slow heart rate, is not typically associated with infection. Infection usually causes an increased heart rate, not a decreased one.
Choice E rationale:
An increase in RBCs is not typically associated with infection. RBCs carry oxygen around the body, but their number does not usually change in response to infection.

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Correct Answer is D

Explanation

Choice A rationale:
Fluoxymesterone is a synthetic anabolic steroid but it’s not used for BPH.
Choice B rationale:
Danazol is a synthetic steroid that is used to treat endometriosis, but it’s not used for BPH.
Choice C rationale:
Methyltestosterone is a synthetic anabolic steroid but it’s not used for BPH.
Choice D rationale:
Finasteride is a medication that is used to treat BPH. It works by decreasing the size of the prostate gland.

A. Impaired tissue perfusion. B. Alteration in activity tolerance. C. Impaired skin integrity. D. Alteration in body image.

Correct Answer is A

Explanation

Choice A rationale:
Varicose veins with ulcerations and lower extremity edema indicate poor blood flow, hence impaired tissue perfusion is the priority.
Choice B rationale:
While activity tolerance might be affected, it’s not the immediate concern.
Choice C rationale:
Impaired skin integrity is a concern due to ulcerations, but it’s secondary to impaired perfusion.
Choice D rationale:
Body image might be affected, but it’s not a physiological priority.

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A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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