NUR 114 FINAL EXAM SANDERS
QUESTIONS WITH COMPLETE
SOLUTIONS
Peripheral vvneuropathy: vvClinical vvmanifestations vv- vvAnswer vvCaused vvfrom
vvdamage vvto vvsensory vvnerve vvfibers vvresulting vvin vvnumbness vvand vvpain
Poor vvblood vvsugar vvregulation
Increase vvin vvthe vvblood vvsugar
affects vvhands, vvfeet, vvlegs, vvtoes
Pain; vvsharp, vvtingle, vvnumbness, vvworse vvat vvnight, vvulcers, vvfoot vvcare vvis vvvery
vvimportant, vvexamine vvfeet vvdaily, vvproper vvshoes, vvany vvtoe vvissue vvis vvseen vvby
vvHCP, vvcaution vvwith vvtoenail vvcutting, vvavoid vvinfections, vvmonitor vvdiet, vvdry vvfeet,
vvulcers vvmay vvoccur vvif vvfoot vvcare vvis vvavoided.
Peripheral vvneuropathy: vvNursing vvdiagnosis vv- vvAnswer vvAcute vvpain
Peripheral vvneuropathy: vvClient vvgoals vvand vvteaching vvpoints? vv- vvAnswer vvClient
vvgoals:
Foot vvcare:
Annual vvexams vvby vva vvpodiatrist
Regular vvfollowup vvappointments vvwith vvphysician
Report vvnumbness, vvtingling, vvjoint vvproblems, vvor vvdifficulty vvwith vvdigestion vvor
vvurinary vvelimination
Monitor vvblood vvsugar vvcarefully
Inspect vvfeet vvdaily
Wash vvfeet vvwith vvmild vvsoap vvand vvwarm vvwater
Test vvwater vvtemperature vvwith vvarms vvor vva vvthermometer vvbefore vvwashing vvfeet.
vvDO vvNOT vvsoak vvfeet
Pat vvfeet vvdry vvgently, vvespecially vvbetween vvtoes
Avoid vvlotion vvbetween vvtoes
Use vvmild vvfoot vvpowder(powder vvwith vvcornstartch) vvon vvsweaty vvfeet
Seperate vvoverlapping vvtoes vvwith vvcotton vvor vvlambs vvwool
Avoid vvopen vvtoe vvor vvopen vvheeled vvshoes
Leather vvshoes vvare vvpreferred vvto vvplastic
, DO vvNOT vvgo vvbare vvfoot
Wear vvabsorbent vvsocks vvthat vvare vvmade vvof vvcotton vvor vvwool vvand vvhave vvno
vvbeen vvmended, vvwear vvsocks vvat vvnight vvif vvfeet vvget vvcold
ONLY vvwear vvsocks vvfor vvwarmth vvdo vvnot vvapply vvheat
Avoid vvprolonged vvsitting, vvstanding, vvand vvcrossing vvlegs
Cleanse vvcuts vvwith vvwarm vvwater vvand vvmilk vvsoap vvgently, vvdry vvand vvapply vvdry
vvdressing
Depression: vvClinical vvManifestations vv- vvAnswer vvAnergia( vvlack vvof vvenergy)
Anhedonia(lack vvof vvpleasure)
Anxiety
Reports vvof vvsluggishness(most vvcommon) vvor vvfeeling vvunable vvto vvrelax vvand vvsit
vvstill
Vegetative vvfindings, vvwhich vvinclude vva vvchange vvin vveating vvpatterns, vvchange vvin
vvbowel vvhabits(constipation), vvsleep vvdisturbances vvand vvdecreased vvinterest vvin
vvsexual vvactivity
Somatic vvreports(fatigue, vvGI vvchanges, vvpain)
Difficulty vvconcentrating
Self vvcritical
Physical vvassessment vvfindings:
Appears vvsad vvwith vvblunted vvaffect
Poor vvgrooming vvand vvlack vvof vvhygiene
Slowed vvphysical vvmovement, vvslumped vvposture, vvagitation, vvrestlessness, vvpacing,
vvfinger vvtapping
Socially vvisolated
Showing vvlittle vvor vvnot vveffort vvto vvinteract vvwith vvothers
Slowed vvspeech, vvdecreased vvverbalization, vvdelayed vvresponse
Sighing vvoften
Too vvtired vvto vvtalk
Depression: vvNursing vvdiagnosis vv- vvAnswer vvSelf-directed vvviolence
Situational vvlow vvself-esteem vvor vvchronic vvlow vvself-esteem
Hopelessness
Social vvisolation
Health vvmaintenance, vvineffective
Coping, vvineffective
Powerlessness
Anxiety
Risk vvfor vvinjury
Risk vvfor vvself vvharm
Depression: vvClient vvgoals vvand vvteaching vvpoints vv- vvAnswer vvClient vvgoals:
The vvpatient vvwill vvengage vvin vvnecessary vvdaily vvself-care vvactivities(eating vv3
vvmeals vva vvday, vvwearing vvclean vvclothes, vvand vvbathing vvregularly)
QUESTIONS WITH COMPLETE
SOLUTIONS
Peripheral vvneuropathy: vvClinical vvmanifestations vv- vvAnswer vvCaused vvfrom
vvdamage vvto vvsensory vvnerve vvfibers vvresulting vvin vvnumbness vvand vvpain
Poor vvblood vvsugar vvregulation
Increase vvin vvthe vvblood vvsugar
affects vvhands, vvfeet, vvlegs, vvtoes
Pain; vvsharp, vvtingle, vvnumbness, vvworse vvat vvnight, vvulcers, vvfoot vvcare vvis vvvery
vvimportant, vvexamine vvfeet vvdaily, vvproper vvshoes, vvany vvtoe vvissue vvis vvseen vvby
vvHCP, vvcaution vvwith vvtoenail vvcutting, vvavoid vvinfections, vvmonitor vvdiet, vvdry vvfeet,
vvulcers vvmay vvoccur vvif vvfoot vvcare vvis vvavoided.
Peripheral vvneuropathy: vvNursing vvdiagnosis vv- vvAnswer vvAcute vvpain
Peripheral vvneuropathy: vvClient vvgoals vvand vvteaching vvpoints? vv- vvAnswer vvClient
vvgoals:
Foot vvcare:
Annual vvexams vvby vva vvpodiatrist
Regular vvfollowup vvappointments vvwith vvphysician
Report vvnumbness, vvtingling, vvjoint vvproblems, vvor vvdifficulty vvwith vvdigestion vvor
vvurinary vvelimination
Monitor vvblood vvsugar vvcarefully
Inspect vvfeet vvdaily
Wash vvfeet vvwith vvmild vvsoap vvand vvwarm vvwater
Test vvwater vvtemperature vvwith vvarms vvor vva vvthermometer vvbefore vvwashing vvfeet.
vvDO vvNOT vvsoak vvfeet
Pat vvfeet vvdry vvgently, vvespecially vvbetween vvtoes
Avoid vvlotion vvbetween vvtoes
Use vvmild vvfoot vvpowder(powder vvwith vvcornstartch) vvon vvsweaty vvfeet
Seperate vvoverlapping vvtoes vvwith vvcotton vvor vvlambs vvwool
Avoid vvopen vvtoe vvor vvopen vvheeled vvshoes
Leather vvshoes vvare vvpreferred vvto vvplastic
, DO vvNOT vvgo vvbare vvfoot
Wear vvabsorbent vvsocks vvthat vvare vvmade vvof vvcotton vvor vvwool vvand vvhave vvno
vvbeen vvmended, vvwear vvsocks vvat vvnight vvif vvfeet vvget vvcold
ONLY vvwear vvsocks vvfor vvwarmth vvdo vvnot vvapply vvheat
Avoid vvprolonged vvsitting, vvstanding, vvand vvcrossing vvlegs
Cleanse vvcuts vvwith vvwarm vvwater vvand vvmilk vvsoap vvgently, vvdry vvand vvapply vvdry
vvdressing
Depression: vvClinical vvManifestations vv- vvAnswer vvAnergia( vvlack vvof vvenergy)
Anhedonia(lack vvof vvpleasure)
Anxiety
Reports vvof vvsluggishness(most vvcommon) vvor vvfeeling vvunable vvto vvrelax vvand vvsit
vvstill
Vegetative vvfindings, vvwhich vvinclude vva vvchange vvin vveating vvpatterns, vvchange vvin
vvbowel vvhabits(constipation), vvsleep vvdisturbances vvand vvdecreased vvinterest vvin
vvsexual vvactivity
Somatic vvreports(fatigue, vvGI vvchanges, vvpain)
Difficulty vvconcentrating
Self vvcritical
Physical vvassessment vvfindings:
Appears vvsad vvwith vvblunted vvaffect
Poor vvgrooming vvand vvlack vvof vvhygiene
Slowed vvphysical vvmovement, vvslumped vvposture, vvagitation, vvrestlessness, vvpacing,
vvfinger vvtapping
Socially vvisolated
Showing vvlittle vvor vvnot vveffort vvto vvinteract vvwith vvothers
Slowed vvspeech, vvdecreased vvverbalization, vvdelayed vvresponse
Sighing vvoften
Too vvtired vvto vvtalk
Depression: vvNursing vvdiagnosis vv- vvAnswer vvSelf-directed vvviolence
Situational vvlow vvself-esteem vvor vvchronic vvlow vvself-esteem
Hopelessness
Social vvisolation
Health vvmaintenance, vvineffective
Coping, vvineffective
Powerlessness
Anxiety
Risk vvfor vvinjury
Risk vvfor vvself vvharm
Depression: vvClient vvgoals vvand vvteaching vvpoints vv- vvAnswer vvClient vvgoals:
The vvpatient vvwill vvengage vvin vvnecessary vvdaily vvself-care vvactivities(eating vv3
vvmeals vva vvday, vvwearing vvclean vvclothes, vvand vvbathing vvregularly)
