A 45-year-old woman with diabetes who has been hospitalized with diabetic ketoacidosis. Which of the following is most important for the nurse to assess during bath time?

a. Skin bruising
b. Condition of teeth
c. Sensation to the foot
d. Skin folds for dirt


C
Assess patients with diseases that affect peripheral circulation and sensation for the adequacy of circulation and sensation of the feet. Palpate the dorsalis pedis and posterior tibial pulses and as-sess for intact sensation to light touch, pinprick, and temperature. Foot ulceration is the most common single risk factor for lower extremity amputations among persons with diabetes. The other responses are necessary to assess but not the highest priority for this patient with a diabetic diagnosis.

Nursing

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The nurse recognizes that the brain regulates swallowing. Damage to this area of the brain will affect the patient's ability to swallow:

A) Temporal lobe B) Medulla oblongata C) Cerebellum D) Pons

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Your patient has been diagnosed with heart failure. What breath sound should be assessed by the nurse?

A) Expiratory wheezes B) Inspiratory wheezes C) Rhonchi D) Crackles

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A 20-year-old primigravida is diagnosed as having mild PIH. She is to be sent home on bed rest, and her blood pressure is to be checked in 2 days. She asks the nurse why this has happened to her

The nurse's response is based on what fact about this client? a. Her age c. Her symptoms b. Her parity d. The length of her gestation

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When teaching a teenage prenatal class, the nurse states that infants born to teenage mothers are more likely to have which health problem?

A) Genetic problems B) Postdate delivery C) Low birth weight D) Lower mortality rates

Nursing