A nurse is assisting with teaching a newly licensed nurse about pain.
Which of the following is an example of acute pain?

The correct answer is choice c. Avoid walking barefoot.

Choice A rationale:

Wearing open-toed shoes is not recommended for clients with diabetic neuropathy because it increases the risk of foot injuries and infections. Closed-toed shoes provide better protection.

Choice B rationale:

Washing feet in hot water is not advisable as it can cause burns or damage to the skin, especially since clients with diabetic neuropathy may have reduced sensation and may not feel the temperature accurately. Lukewarm water should be used instead.

Choice C rationale:

Avoiding walking barefoot is crucial for clients with diabetic neuropathy to prevent injuries, cuts, and infections. Walking barefoot increases the risk of stepping on sharp objects or developing sores that may go unnoticed due to reduced sensation.

Choice D rationale:

Applying lotion between the toes is not recommended because it can create a moist environment that promotes fungal infections. Lotion should be applied to the tops and bottoms of the feet, but not between the toes.

The correct answer is © 280 g of protein/day.

Choice A reason: This choice suggests that the client needs 80 g of protein/day. However, this is not correct because the client’s weight is 220 lb (which is approximately 100 kg), and they require an increase of protein by 2.0 g/kg/day. This means they need an additional 200 g of protein per day. Adding this to their past intake of 0.8 g/kg/day (which is 80 g/day), the total comes to 280 g/day.

Choice B reason: This choice suggests that the client needs 120 g of protein/day. The client’s total protein requirement per day is more than this.

Choice C reason:

Given:

- The client's weight is 220 lb.

- The client requires an increase of protein by 2.0 g/kg/day.

- The client has taken 0.8 g of protein/kg/day in the past.

We know that 1 kg = 2.2 lbs. So, we first need to convert the client's weight from lbs to kg.

Step 1: Convert the client's weight from lbs to kg

220 lb ÷ 2.2 lb/kg = 100 kg

Next, we calculate the increased protein requirement.

Step 2: Calculate the increased protein requirement

100 kg × 2.0 g/kg/day = 200 g/day

Then, we calculate the past protein intake in g/day.

Step 3: Calculate the past protein intake

100 kg × 0.8 g/kg/day = 80 g/day

Finally, we add the past protein intake to the increased protein requirement to get the total protein/day the nurse should recommend.

Step 4: Calculate the total protein/day

200 g/day + 80 g/day = 280 g/day

Choice D reason: This choice suggests that the client needs 400 g of protein/day. However, this is not correct because it exceeds the client’s total protein requirement per day, which is 280 g/day.