A nurse is planning an in-service about foot care for a group of clients who have peripheral neuropathy. Which of the following information should the nurse include?
Apply foot cream between the toes.
Use a pumice stone to soften calluses.
Inspect the feet daily using a mirror.
Round the toenail edges when clipping.
The Correct Answer is C
A. Apply foot cream between the toes: Moisturizing between the toes can create a warm, moist environment that promotes fungal or bacterial infections. Foot cream should be applied to the tops and bottoms of the feet, avoiding spaces between the toes.
B. Use a pumice stone to soften calluses: Using a pumice stone can cause skin breaks or ulcers in clients with peripheral neuropathy due to reduced sensation. Callus management should be performed by a healthcare professional to prevent injury.
C. Inspect the feet daily using a mirror: Daily inspection helps identify cuts, blisters, or infections early, especially since clients with peripheral neuropathy may not feel injuries due to decreased sensation. Using a mirror allows visualization of hard-to-see areas such as the soles.
D. Round the toenail edges when clipping: Toenails should be trimmed straight across to prevent ingrown nails and reduce the risk of infection. Rounding the edges can increase the likelihood of nail problems in clients with neuropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tilt the client's head away from the side receiving the drops: The client’s head should be tilted slightly back and toward the side receiving the drops, not away. Tilting away may cause the medication to run out instead of entering the conjunctival sac.
B. Instill the drops directly onto the cornea of the eye receiving the drops: The cornea is highly sensitive, and placing drops directly on it can cause pain, reflex blinking, or injury. Drops should be placed into the conjunctival sac to ensure comfort and proper absorption.
C. Rest the dominant hand on the client's forehead while instilling the drops: Resting the hand on the forehead stabilizes the dropper, preventing accidental injury if the client moves suddenly. This provides safety and accuracy when administering the medication.
D. Hold the medication dropper 0.5 cm (0.2 in) above the conjunctival sac: The dropper should be held about 1–2 cm above the sac to avoid touching the eye. Holding it too close increases the risk of contamination or accidental contact with the eye surface.
Correct Answer is B
Explanation
A. "You shouldn't be concerned because the pump is very easy to use.": This dismisses the client’s concerns and minimizes their feelings. It does not provide an opportunity for the client to express specific worries or receive education.
B. "We can talk more about your worries regarding your pump if you'd like.": This response acknowledges the client’s concerns and invites further discussion. It promotes trust, encourages open communication, and allows the nurse to provide clarification or teaching.
C. "We use these pumps all the time after surgery, and they work great.": While intended to reassure, this response generalizes and fails to address the client’s individual concerns. It may leave the client feeling unheard or invalidated.
D. "Your provider wouldn't prescribe this pump if it wasn't the best option for you.": This shifts responsibility to the provider and avoids addressing the client’s immediate concerns. It does not promote patient-centered communication or therapeutic interaction.
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