Answer to Question 1
ANS: 4
Restrictive stockings should not be worn in order to decrease the risk of impeding circulation to the lower extremities. Clients with neuropathy is at risk for injury to their feet because of im-paired sensation. By examining all areas of the feet daily, the client can identify potential prob-lems early. Thoroughly drying the feet minimizes risk for fungal infections and skin breakdown.
Answer to Question 2
ANS: 3
Palpation of the dorsalis pedis and posterior tibial pulses indicates whether adequate blood flow is reaching peripheral tissues. Edema and changes in skin color, texture, and temperature indicate if the client requires special hygienic care. Also check persons with diabetes mellitus for neurop-athy, degeneration of the peripheral nerves characterized by a loss of sensation. Assess the cli-ent's sensation to light touch, pinprick, and temperature. Glaucoma is diagnosed by an eye ex-amination that measures intraocular pressure. Psoriasis and dermatitis are both skin conditions.
Client position when assessing jugular vein distention.
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
The central and peripheral nervous system
Preparing the Patient’s Skin for Surgical Procedures
Example of simplified note for one-time client.
Apply the substance to the client’s upper chest.