A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

"I'll check my feet every day for sores and bruises."

"I'll soak my feet in cool water every night before I go to bed."

"I'll put lotion between my toes after drying my feet."

"I'll wear sandals in warm weather."

Answer and Explanation

The Correct Answer is A

This statement indicates that the client understands the importance of daily foot inspections to prevent complications, which is crucial for individuals with diabetes due to their increased risk of foot ulcers and infections stemming from high blood sugar levels. The client's understanding of the need for daily foot checks demonstrates a grasp of essential diabetic foot care principles.
B- It is not advisable because soaking feet can lead to skin breakdown, increasing the risk of infection.
C- It is incorrect because putting lotion between toes can cause excessive moisture, which can also lead to infections.
D- while it may seem reasonable, is not the best practice as wearing sandals can expose the feet to injuries and does not provide the necessary support and protection. Soaking the feet in water increases risk of infections

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Correct Answer is A

Explanation

Morphine sulfate, an opioid analgesic, can cause serious side effects including lifethreatening respiratory depression. A normal respiratory rate for adults is typically between 12 to 16 breaths per minute. A rate of 8 breaths per minute is considered abnormally low and can be indicative of respiratory depression, which is a serious risk associated with opioid medications like morphine sulfate. It's important for healthcare providers to monitor clients closely after administering opioids to manage any potential adverse effects promptly.

B-SaO2 is not a direct indicator of central respiratory depression

C-Pain relief is expected as it is an analgesic

D-Morphine can cause sedation which is okay after respiratory depression has been ruled out

A. Oliguria B. Bradycardia C. Hypotension D. peripheral edema

Correct Answer is D

Explanation

Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema

A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia

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A nurse is teaching a client who has type 1 diabetes mellitus 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 assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect f the medication?

Correct Answer is A

Explanation

A nurse is assessing a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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