The nurse is planning teaching for a client diagnosed with ...

[imowrer]

The nurse is planning teaching for a client diagnosed with diabetic neuropathy. What should the nurse include in this teaching?
 
  A) Set the water heater at 120 F.
  B) Avoid hand and foot massages.
  C) Use a mirror to inspect feet daily.
  D) Increase medication for pain as necessary.

Question 2

The mother of an adolescent client diagnosed with Guillain-Barr syndrome asks the nurse why the client keeps asking for socks to be removed when the client is not wearing any socks. What should the nurse respond to the mother?
 
  A) Confusion is a part of the disorder, and the client just thinks socks are on the feet.
  B) There is a change in sensation, and the client feels like socks are being worn.
  C) Medications are causing the client to feel like socks are being worn.
  D) Tactile hallucinations are part of the disorder.

[mcabuhat]

Answer to Question 1

Answer: C

Using a mirror to inspect the feet daily is recommended because the client may not feel the formation of pressure points, blisters, or ulcers. Setting the water heater at 120 F is incorrect because it is too hot and the client may be scalded because of lack of sensation. Avoiding hand and foot massages is incorrect because this therapy will relax the client, increase the circulation, reduce the need for medication, and increase the psychological benefits of touch, including the ability to be soothed, comforted, held, and loved. Increasing medication for pain as necessary is incorrect because it can further decrease touch sensation by clouding the sensorium and inducing lethargy, which requires additional supervision and monitoring to ensure safety.

Answer to Question 2

Answer: B

With Guillain-Barr syndrome, there is frequently a stocking-glove patternfeeling as though stockings and gloves are being worn when they are notwith pain in the hands, feet, and legs. This is what the nurse should instruct the mother. Tactile hallucinations are not part of the disorder. Medications are not causing the client to feel like socks are being worn. Confusion is not part of the disorder.