A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel

Which of the following would be an appropriate treatment?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin


ANS: A

Nursing

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The client with cancer is dying, and the physician has written a do-not-resuscitate (DNR) order. The client develops respiratory distress because of choking on oral secretions. The nurse should:

1. Sit with the client until death. 2. Notify the charge nurse immediately. 3. Reposition the client and suction the secretions. 4. Leave the room and come back later.

Nursing

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device

Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching? A) Erosion of penile or urethral tissue B) Underinflation or bulging of the cylinders during inflation C) Erosion of scrotal, bowel, or bladder tissue D) Migration of the cylinders, pump, or reservoir from their intended location

Nursing

Which of the following actions by the nurse best exemplifies atraumatic care?

a. using a eutectic mixture of local anesthetics (EMLA) cream 1 hour before blood draws or the use of any needle b. requesting assignment to a general medical unit rather than the intensive care unit c. handwashing when entering the room and before leaving the room d. reverse isolation for the child who is immunologically compromised

Nursing

In comparison with HIV infection in adults, HIV infection in infants and children:

1. Has the same signs and symptoms 2. Has a shorter incubation period 3. Has a longer survival period 4. Is detected by using the same tests

Nursing