A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?

"I should trim my toenails straight across and file the edges."

"I should soak my feet in warm water for 15 minutes every day."

"I should wear cotton socks and change them when they are damp."

"I should apply lotion between my toes to prevent dryness."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This is the correct answer because trimming the toenails straight across and filing the edges can prevent ingrown toenails, which can cause infection and complications in clients with peripheral neuropathy.

Choice B reason:

This is incorrect because soaking the feet in warm water for 15 minutes every day can cause maceration, which can increase the risk of skin breakdown and infection in clients with peripheral neuropathy.

Choice C reason:

This is incorrect because wearing cotton socks and changing them when they are damp can cause friction and moisture, which can also increase the risk of skin breakdown and infection in clients with peripheral neuropathy.

Choice D reason:

This is incorrect because applying lotion between the toes can cause fungal growth, which can lead to athlete's foot or other infections in clients with peripheral neuropathy.

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Correct Answer is D

Explanation

Choice A reason:

This is correct because elevating the head of the bed to 30 degrees can help reduce intracranial pressure by facilitating venous drainage and decreasing cerebral blood volume.

Choice B reason:

This is correct because administering mannitol as prescribed can help reduce intracranial pressure by creating an osmotic gradient that draws fluid out of the brain tissue and into the bloodstream.

Choice C reason:

This is correct because monitoring the client's intracranial pressure can help detect any signs of increased intracranial pressure or cerebral herniation, which can be life-threatening complications of cerebral edema.

Choice D reason:

This is correct because all of the above interventions are appropriate for a client who has ischemic stroke and is at risk for cerebral edema.

A. Hypertension B. Smoking C. Diabetes mellitus D. Age E. Family history

Correct Answer is ["A","B","C"]

Explanation

Choice A reason:

This is correct because hypertension is a modifiable risk factor for ischemic stroke, as it increases the stress on the arterial walls and accelerates atherosclerosis, which can lead to plaque formation and reduced blood flow to the brain.

Choice B reason:

This is correct because smoking is a modifiable risk factor for ischemic stroke, as it damages the endothelial lining of the arteries and promotes thrombosis, which can lead to clot formation and blockage of blood flow to the brain.

Choice C reason:

This is correct because diabetes mellitus is a modifiable risk factor for ischemic stroke, as it causes hyperglycemia and dyslipidemia, which can damage the blood vessels and increase the risk of atherosclerosis and thrombosis.

Choice D reason:

This is incorrect because age is a non-modifiable risk factor for ischemic stroke, as it cannot be changed or controlled by the client. The risk of ischemic stroke increases with age due to physiological changes in the blood vessels and other organs.

Choice E reason:

This is incorrect because family history is also a non-modifiable risk factor for ischemic stroke, as it cannot be changed or controlled by the client. The risk of ischemic stroke may be higher in clients who have relatives who had a stroke due to genetic or environmental factors.

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A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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