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 should soak my feet in warm water daily to soften corns and calluses."

"I can place an oval corn pad over toes that have corn as long as I remove the pad weekly."

"I should use an over-the-counter liquid medication to remove corns."

"I can apply lotion to soften calluses as long as I don't put lotion between my toes."

Answer and Explanation

The Correct Answer is D

Choice A reason:
Soaking feet in warm water daily is not recommended for individuals with diabetes, as it can increase the risk of skin maceration and infection. People with diabetes should be cautious about foot care practices that involve prolonged moisture exposure.
Choice B reason:
Placing an oval corn pad over the toes with corn and removing it weekly may not be the best approach, as it can increase pressure on the area and potentially cause further skin irritation.
Choice C reason:
Using over-the-counter liquid medication to remove corns is not recommended for individuals with diabetes, as it can cause skin irritation, burns, or infection. It's important for individuals with diabetes to seek professional guidance for proper foot care.
Choice D reason:
"I can apply lotion to soften calluses as long as I don't put lotion between my toes." This is the correct statement. This statement indicates an understanding of proper care for corns and calluses. Applying lotion to soften calluses can help reduce discomfort, but it's important to avoid putting lotion between the toes to prevent excess moisture build-up that could lead to skin breakdown or infection.

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Correct Answer is D

Explanation

A. Hyperextend the client's back while the fracture pan is in place: Hyperextending the client's back is not necessary and can cause discomfort or strain. The client's back should be kept in a neutral position.
B. Keep the bed flat while the client is on the fracture pan: Raising the head of the bed slightly can facilitate the client's positioning and defecation. It is not necessary to keep the bed completely flat.
C. Encourage the client to try to defecate for 20 minutes while on the fracture pan: Encouraging the client to try to defecate for a specific time frame is not necessary and may lead to discomfort or straining. The client should be allowed to take the time they need and not be rushed during this process.
D. Place the shallow end of the fracture pan under the client's buttocks: When using a fracture bedpan, the shallow end should be placed under the client's buttocks to allow for proper positioning. The higher, deeper end of the bedpan is positioned under the client's lower back.

A. "New dressing applied as prescribed; no drainage on old dressing." B. "Client premedicated with MSO, sub prior to dressing change." C. "The wound seems clean and does not appear to be infected." D. "No changes noted to the wound from previous nursing notes."

Correct Answer is A

Explanation

Choice A reason:
"New dressing applied as prescribed; no drainage on old dressing. “This entry provides clear and concise information about the action taken (applying a new dressing as prescribed) and the assessment of the old dressing (no drainage present). It accurately reflects the dressing change process and the status of the wound.
Choice B reason:
"Client premedicated with MSO, sub-prior to dressing change." This entry is incorrect because it provides information about the client being premedicated, but it doesn't specifically address the dressing change or the pressure injury.
Choice C reason:
"The wound seems clean and does not appear to be infected." While this entry provides an assessment of the wound's cleanliness and potential infection, it lacks specific details about the dressing change itself.
Choice D reason:
"No changes noted to the wound from previous nursing notes." This entry focuses on comparing the wound to previous notes but doesn't provide information about the current dressing change or assessment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?

Correct Answer is A

Explanation

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