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 rationale:
Placing an oval corn pad over toes and removing it weekly may increase the risk of infection and skin breakdown. Continuous use of pads can trap moisture, potentially leading to complications for individuals with diabetes.
Choice B rationale:
Applying lotion to soften calluses without putting lotion between the toes is correct. Moisturizing can help prevent dry skin, but it's essential to avoid moisture between the toes to prevent fungal infections. The emphasis on proper foot care aligns with diabetes management, where foot health is crucial.
Choice C rationale:
Using over-the-counter liquid medication to remove corns without professional guidance can lead to complications and skin damage. It's important to involve healthcare providers in the management of foot issues in individuals with diabetes.
Choice D rationale:
Soaking feet in warm water daily can contribute to moisture, increasing the risk of fungal infections. It's generally not recommended for individuals with diabetes, emphasizing the importance of avoiding excessive moisture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Applying a bath blanket between the client and a cooling blanket helps prevent direct contact, reducing the risk of chilling or discomfort. This method facilitates gradual cooling in cases of high fever.
Choice B rationale:
Covering the client with heavy blankets after shivering subsides is not appropriate during active cooling efforts for a high fever.
Choice C rationale:
Placing ice packs on the neck and behind the knees can be too aggressive and may lead to vasoconstriction, limiting the effectiveness of heat dissipation.
Choice D rationale:
Giving a sponge bath with an alcohol-water solution is not recommended, as alcohol can lead to skin dryness and increased heat loss.
Correct Answer is C
Explanation
Choice A rationale:
The radial vein on the left wrist is not typically chosen for IV therapy. Additionally, proximity to the mastectomy site may be a consideration.
Choice B rationale:
The cephalic vein on the back of the right hand is not typically selected, especially following a right mastectomy. Choosing a vein on the affected side may increase the risk of complications.
Choice C rationale:
The cephalic vein in the left distal forearm is a suitable choice. It is on the opposite side of the mastectomy and allows for effective IV therapy.
Choice D rationale:
The basilic vein in the right antecubital fossa is on the affected side and may pose a higher risk of complications. Choosing a vein on the opposite side is generally preferred.
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