A patient, age 61, has had type II diabetes for 20 years. He has symmetrical peripheral polyneuropathy of his feet and legs with almost total loss of sensitivity to touch and temperature
He also has peripheral vascular disease evidenced by decreased peripheral pulses and dependent rubor. To prevent injury and infection to this patient's feet and legs, which instruction does the nurse include in teaching? a. He should soak his feet in warm water every day.
b. He should not go barefoot and should always wear shoes with soles.
c. The use of commercial keratolytic agents to remove corns and calluses is preferred to cutting off corns and calluses.
d. He should use a heating pad to warm his feet when they feel cool to the touch.
B
Sturdy, properly fitting shoes should be worn.
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What type of individual therapy is nondirective and focuses on helping the client to clarify his or her own feelings?
A) Behavioral B) Cognitive therapy C) Group D) Humanistic
You are the nurse admitting a new patient to your medical-surgical unit. You are completing an initial health assessment of the patient and document that the patient appears to have an emotionally healthy attitude
What behaviors would be indicative of an emotionally healthy attitude? A) Limiting goal setting B) Having a sense of humor C) Avoiding conflict D) Desire to question reality
The home health nurse is caring for a 75-year-old patient with severe arthritis of her hands and fingers. The patient states, "I can't use these childproof safety lock caps because I can't open them." What is the most appropriate response(s) by the nurse?
a. "I see this is difficult for you. Do you have any family members or friends who can help you?" b. "We can ask the pharmacist not to put childproof caps on your medications; you may need to sign a form." c. "You can transfer your medications to different containers that are easier for you to open." d. "All medications come in childproof containers, so there isn't much we can do about this."
An older patient is having trouble with hydration. What foods could the nurse suggest to increase fluid intake?
a. Fresh fruits b. Cooked meats c. Breads d. Dried fruits