The client with type 1 diabetes mellitus and peripheral arterial disease receives a bed bath. Which foot care technique should the nurse use for this client?
1. Soak feet in warm water.
2. Allow feet to stay moist.
3. Use tepid water to cleanse.
4. Cut nails in a curved shape.
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3. The nurse uses tepid water to cleanse the feet of a client with diabetes and im-paired perfusion to a lower extremity gently to avoid injury to the foot from hot wa-ter, scrubbing, or harsh cleansing agents.
1. Foot soaks are contraindicated for clients with diabetes, and foot care is performed by a podiatrist.
2. The feet of a diabetic are dried carefully after cleansing to prevent fungal over-growth and irritation.
4. Nail cutting is performed by a podiatrist to prevent client injury. Because clients with diabetes commonly have impaired peripheral perfusion and peripheral neuropa-thy, a minor injury can have devastating results because these clients have impaired sensation in the feet (to notice pain or discomfort), delayed healing, and an increased risk of infection as a result. The nurse teaches the client with diabetes to consult with a podiatrist for all foot care and to visit the podiatrist at regular intervals to prevent potential problems.
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In recent days, a female patient on the critical care unit has developed diarrhea and has begun to experience skin breakdown in her perineal area. How should the nurse first respond to this development?
A) Attempt to identify the specific causes of the patient's diarrhea. B) Advocate for a change in the patient's diet orders. C) Ask the primary care provider to prescribe loperamide as needed. D) Obtain an order for a rectal tube.
The nurse is teaching a group of student nurses about the newborn and immunity, emphasizing that: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The newborn's immune system is fully developed at birth. 2. Hypothermia is a reliable sign of infection in the newborn. 3. The newborn has a good hypothalamic response to pyrogens. 4. Signs and symptoms of infection are often subtle and nonspecific in the newborn. 5. The newborn's immune system cannot recognize and destroy bacteria.
Meconium stools are
A. yellow. B. brown and solid. C. pink and loose. D. dark and pasty.