Author Question: The nurse will know that the plan of care for the diabetic client with severe peripheral neuropathy ... (Read 63 times)

storky111 · **on:** Jul 23, 2018

The nurse will know that the plan of care for the diabetic client with severe peripheral neuropathy is effective if the client

a. Begins an aggressive exercise program
b. Follows a diet plan of 1,200 calories per day
c. Is fitted for deep-depth diabetic footwear
d. Remains free of foot wounds

Question 2

The nurse gathers the following data:

BP = 150/94 mm Hg; neck veins distended; P = 104 beats/min; pulse bounding; respiratory rate = 20 breaths/min; T = 37C (98.6F). What disorder should the nurse suspect?
a. Hypovolemia
b. Hypercalcemia
c. Hyperkalemia
d. Hypervolemia

essyface1 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Diabetic clients experiencing difficulty with blood sugar control are prone to the development of peripheral neuropathy, which results in decreased sensation in the feet and lower extremities. Decreased sensation in the feet places the client at increased risk for development of wounds or pressure ulcers in the feet. The nurse will know this plan of care is effective when the client's feet remain free of wounds. An aggressive exercise program would not be appropriate for a client with severely diminished sensation in the feet. Similarly, a 1,200-calorie diet would be inadequate for most clients. Being fitted for diabetic footwear is an intervention rather than a goal.

Answer to Question 2

D
Hypervolemia results from retention of sodium and water. Blood pressure rises, the pulse is bounding, and neck veins become distended owing to increased intravascular volume.