A 61-year-old patient with diabetes mellitus has a physician's ...

[Jramos095]

A 61-year-old patient with diabetes mellitus has a physician's order for meticulous foot care. Which of the following rationales is most appropriate with respect to the physician's order?
 
  a. The aging process causes increased skin breakdown.
  b. Increased neuropathy occurs with diabetes mellitus and places the patient at risk.
  c. The patient probably has a history of poor hygienic care.
  d. The lower extremities are difficult to see and therefore more prone to inadequate hygiene.

Question 2

Which of the following is classified as an urgent surgery?
 
  a. Hernia repair due to a work-related injury
  b. Cholecystectomy related to presence of stones
  c. Appendectomy for a perforated appendix
  d. Breast reconstruction after a previous motor vehicle accident injury one year before

[olderstudent]

Answer to Question 1

B

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A The best rationale for meticulous foot care for this patient relates to the risks associated with the patient's diagnosis of diabetes mellitus.
B Vascular changes associated with diabetes mellitus reduce the blood flow to peripheral tissues. Breaks in skin integrity place a diabetic patient at risk for skin infection. Meticulous foot assessment reduces the diabetic patient's risk of debilitating foot problems.
C No indication is apparent that the patient has a history of poor hygienic care.
D Poor vision may contribute to difficulty in providing foot care, but this patient's greatest risk for developing a foot ulcer is diabetic neuropathy.

Answer to Question 2

B

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A A hernia repair is classified as an elective procedure.
B Removal of a gallbladder for stones, a cholecystectomy, is classified as an urgent procedure.
C Appendectomy for a perforated appendix is an emergency procedure.
D Breast reconstruction is an elective procedure one year after the initial injury.

[Jramos095]

TYSM

[samiel-sayed]

Excellent