A nurse is preparing a teaching plan for a client with diabetes mellitus regarding proper foot care. Which instruction is included in this plan?
A) Soak feet in hot water.
B) Avoid using mild soap on the feet.
C) Apply a moisturizing lotion to dry feet but not between the toes.
D) Always have a podiatrist cut your toenails; never cut them yourself.
Question 2An older diabetic client feels shaky and checks his blood glucose level with his blood glucose monitor. The blood sugar is 44. The client knows that he should eat 10 to 15 grams of carbohydrates immediately.
Which is the best food choice for this client?
A) a half cup of diet soda pop
B) half of an apple with the peel
C) a half cup of orange juice
D) three to five pieces of sugar-free candy
Question 3An older patient with a peptic ulcer asks why lifestyle alterations are needed. What should the nurse explain to the patient?
1. Alcohol stimulates gastric acid secretion.
2. Alcohol acts to suppress gastric immunity.
3. Caffeine is associated with abdominal pain.
4. Tobacco reduces the effectiveness of gastric ulcer medications.
Question 4An older patient, beginning antibiotic therapy for a leg wound, has a history of Clostridium difficile. What should the nurse instruct the patient to do to reduce the risk of this occurring?
1. Eat large amounts of fresh fruits and vegetables.
2. Restrict the amount of meat and calcium products.
3. Use acidophilus capsules while taking the antibiotic.
4. Decrease the amount of fluid taken while on the medication.
Question 5A monofilament test is used to determine a client's risk for which of the following complications of diabetes mellitus?
A) diabetic ulcer of the foot
B) diabetic retinopathy
C) diabetic ketoacidosis
D) arterial insufficiency of the lower extremities
Question 6The nurse is planning a teaching session regarding gastrointestinal ulcers for the residents of an assisted living complex. Which concept should the nurse include in the presentation?
1. Gastric ulcers are more common than duodenal ulcers.
2. The first sign of a peptic ulcer may be serious gastrointestinal bleeding.
3. A colonoscopy is the test used to diagnose the presence of a gastric ulcer.
4. The individual having a peptic ulcer will most likely experience pain when hungry.
Question 7An older patient with gastroesophageal reflux disease has complications caused by exposure of tissue to gastric acids. Which medication will this patient most likely be prescribed to promote healing?
1. Reglan
2. Zantac
3. Pepcid
4. Carafate
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