A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
"I'll check my feet every day for sores and bruises."
"I'll soak my feet in cool water every night before I go to bed."
"I'll put lotion between my toes after drying my feet."
"I'll wear sandals in warm weather."
The Correct Answer is A
This statement indicates that the client understands the importance of daily foot inspections to prevent complications, which is crucial for individuals with diabetes due to their increased risk of foot ulcers and infections stemming from high blood sugar levels. The client's understanding of the need for daily foot checks demonstrates a grasp of essential diabetic foot care principles.
B- It is not advisable because soaking feet can lead to skin breakdown, increasing the risk of infection.
C- It is incorrect because putting lotion between toes can cause excessive moisture, which can also lead to infections.
D- while it may seem reasonable, is not the best practice as wearing sandals can expose the feet to injuries and does not provide the necessary support and protection. Soaking the feet in water increases risk of infections
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale-Nonnutritive sugar substitute produces a sweet taste without contributing any calories. For a client with type 1 diabetes mellitus, the best recommendation for a sweetener would be a nonnutritive sugar substitute. These substitutes are considered safe and do not affect blood sugar levels, which is crucial for managing diabetes. They include aspartame, sucralose, and stevia, offer sweetness without the additional calories and carbohydrates, making them a suitable choice for individuals with diabetes. Natural honey and corn syrup, while natural, are high in carbohydrates and can cause an increase in blood sugar levels. This interferes with the titration of insulin and should be avoided.
Correct Answer is C
Explanation
A serum potassium level of 3.2 mEq/L is considered low, as normal potassium levels are typically between 3.5 and 5.0 mEq/L. When a client has hypokalemia (low potassium), administering potassium chloride (KCl) can help to correct the imbalance. It is important for the nurse to follow hospital protocols and guidelines when administering medications, especially those that can affect electrolyte balance.
A-Holding the KCL in inappropriate as it is needed from the indicated levels
B-The KCL should not be held as the client needs it
D-Hypokalemia is expected in loop diuretics therapy due to renal losses of potassium
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