44. A nurse is preparing to provide foot care for a client who is ambulatory. Identify the sequence of steps the nurse should follow when performing foot care. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Gently dry the client's feet and areas between the toes with a towel.
Assist the client into a sitting position in a chair.
Soak the client's feet in warm water.
Apply lotion to the client's feet.
Rub callused areas of the client's feet using a washcloth.
The Correct Answer is B,C,E,A,D
- Assist the client into a sitting position in a chair. Ensures comfort and stability before starting foot care.
- Soak the client's feet in warm water. Softens the skin and makes cleaning easier.
- Rub callused areas of the client's feet using a washcloth. Helps remove dead skin and promotes circulation.
- Gently dry the client's feet and areas between the toes with a towel. Prevents moisture buildup, which can lead to fungal infections.
- Apply lotion to the client's feet. Moisturizes the skin but should not be applied between the toes to prevent excessive moisture retention and fungal growth.
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Related Questions
Correct Answer is B
Explanation
A. Plan to assign a different nurse to the client each shift. Assigning different nurses each shift disrupts continuity of care. Whenever possible, consistent nursing assignments improve client outcomes.
B. Start discharge planning on the day of admission. Discharge planning should begin upon admission to ensure a smooth transition of care, reduce hospital readmissions, and promote better long-term outcomes.
C. Request that the client complete a satisfaction survey at discharge. While client feedback is valuable, it does not directly contribute to continuity of care during the hospital stay.
D. Limit the number of interdisciplinary team members managing the client's care. Interdisciplinary collaboration (e.g., physicians, nurses, physical therapists, social workers) is crucial in providing comprehensive and continuous care, especially for complex cases.
Correct Answer is A
Explanation
A. "I will hold my cane on my stronger side." The cane should be held on the stronger (unaffected) side to provide better support and stability while allowing the weaker leg to move more freely.
B. "I should hold my cane 12 inches from my side." The cane should be positioned about 6–10 inches to the side of the foot to ensure proper balance and support.
C. "I will keep my elbow flexed at a 90-degree angle while moving my cane." The elbow should be flexed at about 15–30 degrees, not 90 degrees, to maintain comfort and proper control of the cane.
D. "I should move my weaker leg before moving my cane." The correct sequence is to move the cane first, then move the weaker leg forward, followed by the stronger leg, which provides better stability and reduces fall risk.
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