The nurse should teach the client to monitor for which complication of diabetic neuropathy?
a. arthrosclerosis c. injury and undetected foot injury
b. diabetic retinopathy d. kidney failure
C
The incidence of neuropathy increases with age and duration of the disease. Decreased sensations in the lower extremities and decreased pain and temperature sensations coupled with decreased circulation places the client at risk for undetected foot injury.
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A client with lymphedema of the left leg has a nursing diagnosis of Disturbed Body Image related to lymphedema of the left leg as evidenced by the statement, "I look terrible and am embarrassed to go out
" What intervention can the nurse provide to help this client? A) Inform the client it is acceptable to stay away from social activities. B) Encourage the client to go out and socialize even if he doesn't want to. C) Suggest certain styles of clothing that conceal the enlargement of the leg. D) Refer the client to a psychiatrist.
The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient? Select all that apply.
A. Recognize signs of an infection. B. Expect the next menstrual period to be early. C. Understand what the vaginal discharge will look like. D. Expect vaginal bleeding to be bright red and very heavy. E. Avoid using tampons for 2 weeks.
The primary outcome for information collected during a nursing physical examination should be to: (Select all that apply.)
1. Establish the client's baseline of function 2. Evaluate both nursing and client outcomes 3. Identify any changes in the client's health status 4. Provide rationale for client admission or discharge 5. Identify appropriate nursing diagnoses to determine nursing care 6. Determine accuracy of information obtained from the client interview
Which are appropriate interventions for the nurse to include in the plan of care for a child who is receiving traction? Select all that apply
1. Monitoring breath sounds 2. Assessing neurovascular status every 2 hours 3. Repositioning every 2 to 3 hours 4. Using moleskin to protect the skin from rough edges 5. Encouraging the parents cuddle with their child