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 D
Explanation
Rationale for A: Drawing the short-acting insulin into the syringe should not be done before preparing the vials.
Rationale for B: Injecting air into the short-acting insulin vial is not the first step in the procedure.
Rationale for C: Drawing the intermediate-acting insulin into the syringe should only be done after injecting air into the intermediate-acting insulin vial first.
Rationale for D: Injecting air into the intermediate-acting insulin vial first is essential because it helps prevent a vacuum and ensures accurate measurement of the insulin when drawing it into the syringe. This step is part of the correct procedure for mixing insulins.
Correct Answer is C,B,D,E,A
Explanation
Choice A rationale:
Checking for areas of tenderness helps to identify any inflammation, infection, or injury in the abdominal cavity.
Choice B rationale:
Listening to the abdominal arteries helps to detect any bruits or abnormal sounds that may indicate vascular problems.
Choice C rationale:
Providing adequate lighting allows the nurse to inspect the abdomen for any abnormalities, such as distension, scars, or lesions.
Choice D rationale:
Percussing the abdomen helps to assess the size and density of the organs, as well as to detect any fluid or gas accumulation.
Choice E rationale:
Locating the liver and spleen borders helps to determine if they are enlarged or displaced.
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