NUR 114 Final Exam Questions and 100% Correct Answers
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Course
NUR 114
Institution
NUR 114
Peripheral neuropathy: Clinical manifestations Caused from damage to sensory nerve fibers resulting in numbness and pain
Poor blood sugar regulation
Increase in the blood sugar
affects hands, feet, legs, toes
Pain; sharp, tingle, numbness, worse at night, ulcers, foot care is very important, ex...
NUR 114 Final Exam Questions and
100% Correct Answers
Peripheral neuropathy: Clinical manifestations ✅Caused from damage to sensory
nerve fibers resulting in numbness and pain
Poor blood sugar regulation
Increase in the blood sugar
affects hands, feet, legs, toes
Pain; sharp, tingle, numbness, worse at night, ulcers, foot care is very important,
examine feet daily, proper shoes, any toe issue is seen by HCP, caution with toenail
cutting, avoid infections, monitor diet, dry feet, ulcers may occur if foot care is avoided.
Peripheral neuropathy: Client goals and teaching points? ✅Client goals:
Foot care:
Annual exams by a podiatrist
Regular followup appointments with physician
Report numbness, tingling, joint problems, or difficulty with digestion or urinary
elimination
Monitor blood sugar carefully
Inspect feet daily
Wash feet with mild soap and warm water
Test water temperature with arms or a thermometer before washing feet. DO NOT soak
feet
Pat feet dry gently, especially between toes
Avoid lotion between toes
Use mild foot powder(powder with cornstartch) on sweaty feet
Seperate overlapping toes with cotton or lambs wool
Avoid open toe or open heeled shoes
Leather shoes are preferred to plastic
DO NOT go bare foot
Wear absorbent socks that are made of cotton or wool and have no been mended, wear
socks at night if feet get cold
ONLY wear socks for warmth do not apply heat
Avoid prolonged sitting, standing, and crossing legs
Cleanse cuts with warm water and milk soap gently, dry and apply dry dressing
, Depression: Clinical Manifestations ✅Anergia( lack of energy)
Anhedonia(lack of pleasure)
Anxiety
Reports of sluggishness(most common) or feeling unable to relax and sit still
Vegetative findings, which include a change in eating patterns, change in bowel
habits(constipation), sleep disturbances and decreased interest in sexual activity
Somatic reports(fatigue, GI changes, pain)
Difficulty concentrating
Self critical
Physical assessment findings:
Appears sad with blunted affect
Poor grooming and lack of hygiene
Slowed physical movement, slumped posture, agitation, restlessness, pacing, finger
tapping
Socially isolated
Showing little or not effort to interact with others
Slowed speech, decreased verbalization, delayed response
Sighing often
Too tired to talk
Depression: Nursing diagnosis ✅Self-directed violence
Situational low self-esteem or chronic low self-esteem
Hopelessness
Social isolation
Health maintenance, ineffective
Coping, ineffective
Powerlessness
Anxiety
Risk for injury
Risk for self harm
Depression: Client goals and teaching points ✅Client goals:
The patient will engage in necessary daily self-care activities(eating 3 meals a day,
wearing clean clothes, and bathing regularly)
The patient will resume normal activity patterns, such as returning to work or school
The patient will seek and engage in meaningful social interactions
The patient will articulate taking steps to feeling better such as adopting healthy lifestyle
behaviors(exercise) or engaging in recreational activities before beginning to feel better
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