A nurse is caring for a client who has diabetes mellitus and peripheral neuropathy in her lower extremities. Which of the following medications should the nurse expect the provider to prescribe to manage the client's neuropathic pain?

Methadone

Hydrocodone

Morphine

Gabapentin

Answer and Explanation

The Correct Answer is D

A. Methadone Methadone is an opioid used primarily for severe pain and opioid dependency.
B. Hydrocodone Hydrocodone is an opioid used for moderate to severe pain but not specifically for neuropathic pain.
C. Morphine Morphine is an opioid used for severe pain but not specifically for neuropathic pain.
D. Gabapentin Gabapentin is an anticonvulsant medication that is commonly used to treat neuropathic pain, making it appropriate for diabetic neuropathy.

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Correct Answer is ["A","D"]

Explanation

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

A. Ask the client to tilt her head back when swallowing. B. Offer the client larger portions of food during the meal. C. Use spoons, instead of cups, when serving liquids to the client. D. Encourage the client to complete the meal within 15 min.

Correct Answer is C

Explanation

A. Ask the client to tilt her head back when swallowing. Tilting the head back can increase the risk of aspiration. Clients with dysphagia should be instructed to tuck their chin to their chest when swallowing.
B. Offer the client larger portions of food during the meal. Smaller portions are safer for clients with dysphagia to reduce the risk of choking and aspiration.
C. Use spoons, instead of cups, when serving liquids to the client. This is correct. Using spoons can help control the amount of liquid the client receives, reducing the risk of aspiration.
D. Encourage the client to complete the meal within 15 min. Rushing a meal increases the risk of choking and aspiration. Clients with dysphagia should eat slowly and take small bites.

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A nurse is caring for a client who has diabetes mellitus and peripheral neuropathy in her lower extremities. Which of the following medications should the nurse expect the provider to prescribe to manage the client's neuropathic pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a Clostridium difficile infection. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A nurse is assisting a client who has dysphagia at meal time. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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