A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates understanding of the teaching?
"I should use my wrist to test the temperature of the water before bathing."
"I should put lotion between my toes every day to prevent dryness and cracking."
"I should apply a heating pad to my feet every night to help with circulation."
"I should round the corners of my toenails with a nail file to prevent ingrown nails."
The Correct Answer is A
A. "I should use my wrist to test the temperature of the water before bathing": This is correct as using the wrist to test water temperature helps prevent burns or injuries, which is crucial for individuals with diabetes who may have reduced sensation in their feet.
B. "I should put lotion between my toes every day to prevent dryness and cracking": This is incorrect because applying lotion between the toes can promote fungal infections. Lotion should be applied to the tops and soles of the feet, avoiding the spaces between the toes.
C. "I should apply a heating pad to my feet every night to help with circulation": This is incorrect as heating pads can cause burns due to decreased sensation. It is safer to avoid direct heat applications.
D. "I should round the corners of my toenails with a nail file to prevent ingrown nails": This is incorrect; toenails should be trimmed straight across to prevent ingrown nails rather than rounded.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased bronchospasms: Metoprolol, a beta-blocker, does not typically decrease bronchospasms and may actually exacerbate them in susceptible individuals.
B. Increased blood glucose level: Metoprolol does not generally increase blood glucose levels. However, it can mask hypoglycemic symptoms in diabetic patients.
C. Increased blood pressure: Metoprolol is used to lower blood pressure, not increase it.
D. Decreased heart rate: This is correct as metoprolol is a beta-blocker that reduces heart rate by blocking beta-adrenergic receptors.
Correct Answer is C
Explanation
A. Warm the insulin vial to dissolve any crystals that develop: Insulin should not be warmed as this can alter its efficacy. If crystals are present, the vial should be gently rolled, not heated.
B. Keep unopened insulin vials in the freezer: Insulin should not be kept in the freezer. Unopened vials should be stored in the refrigerator.
C. Store opened insulin vials at room temperature for up to 4 weeks: Opened insulin vials can be stored at room temperature for up to 4 weeks, which helps maintain its stability and usability.
D. Plan to eat a snack 6 hr after insulin administration: The timing of snacks should be aligned with insulin administration based on the type and dosage, not a fixed interval of 6 hours.
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