Author Question: The nurse is caring for a postoperative client who says his pain is well controlled during the day ... (Read 106 times)

penza · **on:** Jul 22, 2018

The nurse is caring for a postoperative client who says his pain is well controlled during the day but that it seems to get worse in the evening. The nurse concludes this is the result of which of the following?

1. The pain is due to constipation.
2. Increased activity in the evening will help alleviate pain.
3. The pain is likely due to fatigue at the end of the day.
4. The client has a wound infection.

Question 2

Which of the following would the nurse include when teaching the newly diagnosed type 2 diabetic about foot care? Select all that apply. Standard Text: Select all that apply.

1. Wear correctly fitting shoes that do not rub.
2. Soak the feet daily for 30 minutes in hot water.
3. See a podiatrist for ingrown toenail care.
4. Go barefoot in the home to promote air circulation to keep feet dry.
5. Refrain from pedicures at salons.

mcinincha279 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: The perception of pain is greater when the client is tired. The nurse can suggest a rest period or nap in the late afternoon to reduce fatigue rather than ambulation, which will further tire the client. There is no information that suggests the client is constipated or has a wound infection.

Answer to Question 2

1,3,5
Rationale: The diabetic has decreased circulation to the feet, and is prone to infection if skin integrity is interrupted. Shoes that rub can cause open sores. A podiatrist should treat the diabetic's ingrown toenails to prevent cuts and open sores. Pedicures at salons can cause cuts and possible infections. The diabetic should never use hot water, due to the risk of burns, and should not go barefoot, because of the risk for injury.