An older adult man diagnosed with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?

Wear well-fitting shoes

Soak the feet in warm water

Apply antifungal powder on the feet

Wear knee-high nylon stockings

Answer and Explanation

The Correct Answer is A

Choice A reason: Wearing well-fitting shoes is a good intervention for the older adult man to reduce his discomfort, as it can prevent pressure, friction, or injury to his feet, which can worsen the burning sensation. The nurse would advise the older adult man to choose shoes that are comfortable, supportive, and breathable, and to avoid shoes that are too tight, too loose, or have high heels or pointed toes.

Choice B reason: Soaking the feet in warm water is not a recommended intervention for the older adult man to reduce his discomfort, as it can dry out his skin, increase the risk of infection, or cause thermal injury if the water is too hot. The nurse would advise the older adult man to wash his feet daily with mild soap and lukewarm water, and to dry them thoroughly, especially between the toes.

Choice C reason: Applying antifungal powder on the feet is not a necessary intervention for the older adult man to reduce his discomfort, unless he has a fungal infection, such as athlete's foot, which can cause itching, burning, or cracking of the skin. The nurse would advise the older adult man to check his feet regularly for any signs of infection, such as redness, swelling, or pus, and to seek medical attention if he has any.

Choice D reason: Wearing knee-high nylon stockings is not a helpful intervention for the older adult man to reduce his discomfort, as it can impair his blood circulation, trap moisture, or irritate his skin. The nurse would advise the older adult man to wear socks that are made of cotton or wool, and to change them daily or whenever they are wet or dirty.

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Correct Answer is D

Explanation

Choice A reason: Older adult's self-report is a subjective measure of pain that may not reflect the actual intensity or quality of pain. It may also be influenced by factors such as cognitive impairment, mood, or cultural norms.

Choice B reason: FPSR stands for Face, Pain Scale-Revised, which is a tool to assess pain in infants and children who cannot verbalize their pain. It is not suitable for older adults, who may have different facial expressions or reactions to pain.

Choice C reason: Pain medication frequency is an indirect measure of pain that may not capture the effectiveness or side effects of pharmacotherapy. It may also vary depending on the type, dose, and route of administration of pain medication.

Choice D reason: Older adult's pain diary is a comprehensive and reliable measure of pain that can track the changes in pain level, quality, and location over time. It can also record the impact of pain on daily activities, mood, sleep, and quality of life. It can help the nurse to evaluate the outcomes of comfort measures and pharmacotherapy, and to adjust the pain management plan accordingly.

A. Cognitive disorders B. Antibiotics C. Orthostatic hypotension D. Vision E. Balance

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

Explanation

Choice A reason: Cognitive disorders are conditions that affect the mental functions, such as memory, reasoning, judgment, or orientation. Cognitive disorders can increase the risk of falls by impairing the awareness, attention, or decision-making of the client.

Choice B reason: Antibiotics are not a factor that requires particular attention when assessing a client who has a history of falls. Antibiotics are medications that treat bacterial infections, and they do not directly affect the risk of falls. However, some antibiotics may have side effects, such as dizziness, nausea, or diarrhea, that can indirectly increase the risk of falls.

Choice C reason: Orthostatic hypotension is a condition where the blood pressure drops significantly when changing position, such as standing up from sitting or lying down. Orthostatic hypotension can cause symptoms, such as lightheadedness, fainting, or blurred vision, that can increase the risk of falls.

Choice D reason: Vision is the sense of sight that allows the perception of the environment and the detection of potential hazards. Vision can decline with age or due to various eye diseases or injuries. Poor vision can increase the risk of falls by affecting the depth perception, contrast sensitivity, or visual field of the client.

Choice E reason: Balance is the ability to maintain the body's center of gravity over its base of support. Balance can be affected by various factors, such as inner ear problems, muscle weakness, joint stiffness, or medication use. Poor balance can increase the risk of falls by impairing the stability and coordination of the client.

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An older adult man diagnosed with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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

Explanation

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