A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
"I can place an oval corn pad over toes that have corns as long as I remove the pad weekly."
"I can apply lotion to soften calluses as long as I don't put lotion between my toes."
"I should use an over-the-counter liquid medication to remove corns."
"I should soak my feet in warm water daily to soften corns and calluses."
The Correct Answer is B
Choice A Reason:
Placing an oval corn pad over toes with corns is not recommended because it can cause further pressure and discomfort. Corn pads should be used with caution and under the guidance of a healthcare professional.
Choice B Reason:
"I can apply lotion to soften calluses as long as I don't put lotion between my toes." is the safest and most appropriate self-care measure for calluses, emphasizing the importance of not applying lotion between the toes, which can lead to moisture retention and skin issues. However, it's always best for the client to consult with a healthcare provider for specific guidance on corn and callus care, as individual situations may vary.
Choice C Reason:
Using over-the-counter liquid medications to remove corns is not typically recommended without consulting a healthcare professional. It's best to have corns assessed and treated by a healthcare provider.
Choice D Reason:
Soaking the feet in warm water daily can help soften corns and calluses, but it should be done with caution. Excessive soaking can lead to skin maceration and should not be done daily. It's essential to follow a healthcare provider's recommendations for soaking and corn/callus care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Hyperextending the client's back while the fracture pan is in place can cause discomfort and is not necessary for proper use of the bedpan. It's important to maintain the client's comfort and avoid unnecessary strain or discomfort.
Choice B Reason:
Encouraging the client to try to defecate for a specific time (20 minutes) is not recommended. It is not advisable to put a time limit on the process, as it can vary for each individual. Clients should be given adequate time and privacy for toileting.
Choice C Reason:
Keeping the bed flat while the client is on the fracture pan is generally not necessary. The bed can be adjusted to a comfortable position for the client, but it should not be raised in a way that would cause discomfort or strain, and the head of the bed can be elevated if that is more comfortable for the client.
Choice D Reason:
Place the shallow end of the fracture pan under the client's buttocks. This is the appropriate way to position the fracture bedpan for safe and effective use. Placing the shallow end of the bedpan under the client's buttocks ensures that the client can comfortably and securely sit on the bedpan. The shallow end is designed to fit under the buttocks, while the deeper end is used to collect the waste.
Correct Answer is B
Explanation
Choice A Reason:
Scheduling a support session for the client is essential for emotional support and adjustment but may not be the top priority compared to ensuring effective communication.
Choice B Reason:
Review the use of an artificial larynx with the client. A total laryngectomy removes the larynx, which affects the client's ability to speak. An artificial larynx (also known as an electrolarynx) is a device that can help the client regain speech. Ensuring that the client is informed about and prepared for using this device is a crucial aspect of their postoperative care.
Choice C Reason:
Determining the client's reading ability is significant but may not be the top priority immediately following a laryngectomy.
Choice D Reason:
Explaining the techniques of esophageal speech is relevant but should be part of the client's education and rehabilitation after the surgery, following ensuring the immediate ability to communicate through an artificial larynx.
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