The nurse is caring for a patient with diabetes who is exhibiting signs and symptoms of peripheral neuropathy. What will the nurse identify as a risk for this patient?

Acute pain

Infection

Answer and Explanation

The Correct Answer is B

Choice A reason: While acute pain is a possibility in peripheral neuropathy, infection poses a more serious risk. The sensory deficits in peripheral neuropathy can lead to unnoticed injuries and subsequent infections, especially in the lower extremities.

Choice B reason: Infection is a major risk in patients with peripheral neuropathy due to the loss of sensation, which can result in unnoticed injuries that can become infected. Additionally, high blood sugar levels in diabetes can impair the immune response, making infections more likely and harder to heal.

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Correct Answer is B

Explanation

Choice A reason: Drowsiness is not a typical side effect of prednisone. Prednisone can cause alertness and difficulty sleeping, making drowsiness an unlikely side effect. It is more commonly associated with medications that have sedative properties.

Choice B reason: Hypertension, or high blood pressure, is a potential side effect of prednisone. Corticosteroids like prednisone can cause fluid retention and increase blood pressure. Patients taking prednisone should monitor their blood pressure regularly and discuss any significant changes with their healthcare provider.

Choice C reason: Weight loss is not a common side effect of prednisone. In fact, prednisone can cause weight gain due to increased appetite and fluid retention. Patients on prednisone should be mindful of their diet and exercise to manage potential weight changes.

Choice D reason: Skin thickening is not a typical side effect of prednisone. Corticosteroids can cause thinning of the skin with long-term use, rather than thickening. Patients should be aware of this potential side effect and take steps to protect their skin.

A. Osteoarthritis B. Osteoporosis C. Hyperglycaemia D. Mucositis

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

Explanation

Choice A reason: Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage and underlying bone. It is not directly associated with corticosteroid treatment. Osteoarthritis develops due to wear and tear over time, and while corticosteroids are used to manage inflammation, they do not cause osteoarthritis.

Choice B reason: Osteoporosis is a potential complication of long-term corticosteroid use. Corticosteroids can interfere with bone formation and increase the rate of bone resorption, leading to decreased bone density and an increased risk of fractures. Patients on long-term corticosteroid therapy should be monitored for signs of osteoporosis, and preventive measures such as calcium and vitamin D supplementation may be recommended.

Choice C reason: Hyperglycaemia, or elevated blood glucose levels, is a common side effect of corticosteroid therapy. Corticosteroids can increase insulin resistance and promote glucose production in the liver, leading to higher blood sugar levels. Patients with diabetes or those at risk for diabetes should be closely monitored for changes in their blood glucose levels when on corticosteroid therapy.

Choice D reason: Mucositis, or inflammation of the mucous membranes, is not a typical complication of corticosteroid therapy. Mucositis is more commonly associated with chemotherapy or radiation therapy used in cancer treatment. While corticosteroids can affect the immune system, they do not directly cause mucositis.

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The nurse is caring for a patient with diabetes who is exhibiting signs and symptoms of peripheral neuropathy. What will the nurse identify as a risk for this patient?

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