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 C
Explanation
Choice A rationale:
Ensuring the gloves in the surgical suite are powdered is not appropriate, as latex gloves with powder can aerosolize latex proteins, increasing the risk of an allergic reaction. Powder-free gloves should be used.
Choice B rationale:
Cleaning stoppers with povidone-iodine is not directly related to latex allergy and may not be necessary in the context of latex allergy.
Choice C rationale:
Scheduling the client as the first surgical procedure of the day is appropriate to minimize the client's exposure to latex in the environment.
Choice D rationale:
Removing stopcocks from IV tubing is not a standard precaution for latex allergy and may not be necessary in all cases. Minimizing latex exposure in the surgical suite is a more comprehensive approach.
Correct Answer is C
Explanation
Choice A rationale:
Choosing the most proximal site on the extremity is not recommended. Peripheral IV catheters are typically inserted in more distal sites to preserve more proximal sites for other needs.
Choice B rationale:
the nurse should place the extremity in an elevated position, to reduce blood flow and make the veins more visible.
Choice C rationale:
Placing the tourniquet above the proposed insertion site is the correct action. This helps distend the veins, making them more visible and accessible for insertion by occluding venous return thus engorging the vein.
Choice D rationale:
Applying a cool compress is not a standard practice before IV catheter insertion. Warm compresses may be used to enhance vein visibility.
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