You are caring for a patient with diabetes. You notice the person is forcing his shoes on over very swollen feet and the shoes are extremely tight. He denies any discomfort. Is this a problem?
What will be an ideal response?
You are aware diabetics often have reduced sensation in the feet. Shoes that do not fit properly can cause wounds and because the patient is a diabetic he is at greater risk for infection and other complications. Remove the shoes. Notify the nurse that the patient's feet are swollen, as this too needs to be addressed.
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A nurse is caring for a 90-year-old client who has recently died from a long-standing chronic illness. The family had been in constant presence with the client during the past 2 weeks, experiencing the dying process
They are present when the client ceased to breathe. The family's reaction at the time of death was very emotional, as if they were in a state of disbelief. The nurse interprets this behavior to be A) normal shock when experiencing the loss of a loved one. B) maladaptive coping of the family. C) irrational behavior. D) expression of anger.
The physician orders 10 units regular and 40 units NPH insulin subcutaneously. The nurse prepares the injection by:
A) injecting 40 units air into the NPH, 10 units air into the regular, aspirate 10 units of regular, then aspirate 40 units NPH. B) injecting air into the regular, air into the NPH, aspirating the NPH, then aspirating the regular. C) injecting air into the regular, aspirating 10 units regular, injecting air into the NPH, then aspirating 40 units NPH. D) aspirating 10 units regular, then aspirating 40 units NPH.
A nurse is discussing with a social activist issues related to the growing population of the elderly. What is the highest priority issue that the nurse should focus on to lower healthcare costs?
A) Financial planning B) Urban transportation C) Fitness programs D) Nutrition counseling
A nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antidepressant medication, but the dose is more than the usual adult dose. The nurse should:
a. implement the order. b. consult a drug reference. c. give the usual geriatric dosage. d. hold the medication and consult the health care provider.