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
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Correct Answer is C
Explanation
Choice A rationale:
Referring the client to a breast cancer support group is a helpful intervention, but it may not be the first action.
Choice B rationale:
Providing the client with a mirror to look at her mastectomy incisions may be done later in the healing process.
Choice C rationale:
Identifying the impact of the mastectomy on the client's body image is the first action to address the client's emotional needs and concerns.
Choice D rationale:
Encouraging the client to assist with her dressing changes may be appropriate but does not address the emotional aspect of the client's response.
Correct Answer is D
Explanation
Choice A rationale:
"SS" for sliding scale could be misinterpreted as "sugar solution" or "single strength," leading to confusion. It is better to write out "sliding scale" for clarity.
Choice B rationale:
"BRP" for bathroom privileges is not an acceptable abbreviation commonly used in healthcare documentation.
Choice C rationale:
"OJ" for orange juice could be confused with "oj" for "ojus," a term used in some cultures for clarified butter. Using "orange juice" is clearer.
Choice D rationale:
"SQ" for subcutaneous is an acceptable abbreviation commonly used in healthcare documentation.
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