Which finding would a nurse expect when assessing a diabetic client receiving long-term corticosteroid therapy admitted to the hospital with leg ulcers?

Correct Answer: D

Rationale: The correct answer is D: Inadequate wound healing. Corticosteroids can impair the body's ability to heal wounds by suppressing the immune response and reducing inflammation. This effect is particularly concerning for diabetic patients who already have impaired wound healing due to their condition. Weight loss (A) is not typically associated with corticosteroid therapy, and diabetic patients are more prone to hyperglycemia rather than hypoglycemia (B). Corticosteroids can actually lead to increased blood pressure, so decreased blood pressure (C) would be an unexpected finding in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Median plane. The median plane is also known as the midsagittal plane, which divides the body or an organ into equal left and right halves. This plane passes through the midline of the body, specifically through the sagittal suture of the skull and the umbilicus. The transverse plane (A) divides the body into superior and inferior portions, the horizontal plane (B) is another term for the transverse plane, and the oblique plane (D) cuts the body at an angle, not into equal left and right sides. Therefore, the median plane is the correct choice for this scenario.

Correct Answer: A

Rationale: The correct answer is A: Epidermis. The epidermis is the outermost layer of the skin, composed mainly of dead keratinized cells called keratinocytes. These cells provide protection and waterproofing to the skin. The dermis (choice B) is the layer beneath the epidermis, containing blood vessels, nerves, and connective tissues. The hypodermis (choice C) is the deepest layer of the skin, containing fat cells and connecting the skin to underlying tissues. Choice D is incorrect as the epidermis is indeed the layer of the skin made up of dead keratinized cells.

Correct Answer: D

Rationale: The correct answer is D because the integumentary system plays multiple roles in maintaining homeostasis. 1. A: It regulates body temperature by sweating or shivering, maintains fluid balance through sweat production, and helps regulate blood pressure through vasodilation or vasoconstriction. 2. B: It acts as a physical barrier to prevent infections and protects against harmful environmental factors. 3. C: The integumentary system is involved in the production of vitamin D when exposed to sunlight. Therefore, all of the choices (A, B, C) are correct, making D the correct answer. Other choices are incorrect as they do not encompass the comprehensive functions of the integumentary system in homeostasis.

Correct Answer: B

Rationale: The correct answer is B because it includes lean protein (baked chicken breast) and vegetables (broccoli, tomatoes). Lean protein helps lower cholesterol levels, while vegetables provide fiber and antioxidants, which are beneficial for heart health. A: Steak and French fries are high in saturated fat and unhealthy fats, which can raise cholesterol levels. C: Fried catfish and cornbread are high in unhealthy fats and carbohydrates, which can worsen lipid panel results. D: Spaghetti with meat sauce and garlic bread are high in refined carbohydrates and unhealthy fats, which can negatively impact cholesterol levels. In summary, choice B is the best option as it includes a balanced meal with heart-healthy components, while the other choices contain items that can potentially worsen the client's lipid panel results.