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 B
Explanation
Choice A rationale:
The infant's provider does not sign the consent form. The legal guardian or parent typically provides consent for a minor's surgery.
Choice B rationale:
The infant's 17-year-old mother is likely the legal guardian and can provide consent for the infant's surgery. According to the law, a minor who becomes a parent can consent to medical care for themselves and their child, regardless of their age. Therefore, the infant's mother, even though she is 17 years old, can sign the consent form for her infant's surgery. Legal guardianship is crucial for obtaining valid consent for a minor's medical procedure.
Choice C rationale:
The mother's 21-year-old sibling is not the legal guardian unless legally designated as such. Consent from a legal guardian or parent is essential for pediatric procedures.
Choice D rationale:
The grandparent is not typically the legal guardian unless legally designated as such. Consent from the legal guardian or parent is required for surgical procedures involving minors.
Correct Answer is D
Explanation
Choice A rationale:
Drinking a cup of hot cocoa before bedtime may contain caffeine, which can interfere with sleep.
Choice B rationale:
Taking a 30-minute nap daily, especially close to bedtime, may interfere with nighttime sleep.
Choice C rationale:
Exercising 1 hour before bedtime is generally not recommended as it can increase alertness and may disrupt sleep.
Choice D rationale:
Eating a light carbohydrate snack before bedtime is an appropriate intervention for promoting sleep. Carbohydrates can increase the availability of tryptophan, an amino acid that promotes sleep.
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