During a foot assessment, the nurse notices a red, warm, and swollen area on the client's foot. Which action should the nurse take next?

Apply a heating pad to the affected area.

Elevate the foot and encourage rest.

Gently massage the area to promote circulation.

Refer the client for further evaluation by a healthcare provider.

Answer and Explanation

The Correct Answer is D

A red, warm, and swollen area on the foot may indicate an infection or inflammation, which requires further evaluation and treatment by a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Applying heat to an already warm and swollen area may exacerbate inflammation and should be avoided.

b. This choice is incorrect. While elevation and rest can be beneficial for certain foot conditions, they may not be sufficient for addressing infection or inflammation.

c. This choice is incorrect. Massaging the area may further irritate the inflamed tissues and is not recommended without proper assessment and guidance from a healthcare provider.

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Correct Answer is B

Explanation

The client's statement that wearing tight-fitting shoes is important for preventing friction is incorrect. Tight-fitting shoes can actually increase the risk of friction and pressure, leading to foot problems in individuals with diabetes. Properly fitting shoes with cushioning and support are recommended to prevent foot complications.

Incorrect choices:

a. This choice is incorrect. Daily foot inspection is a crucial aspect of diabetic foot care to detect any cuts, blisters, or changes in the skin.

c. This choice is incorrect. Washing the feet daily with mild soap and warm water is an important hygiene practice to prevent infection.

d. This choice is incorrect. Moisturizing the feet with lotion, while avoiding between the toes, helps prevent dry skin and cracking, which can lead to foot problems.

A. "I will inspect my feet every day, especially between my toes." B. "If I develop a blister, I will pop it with a sterile needle to release the fluid." C. "I will wash my feet daily with mild soap and warm water." D. "I will gently pat my feet dry after washing, especially between my toes."

Correct Answer is B

Explanation

Popping a blister with a sterile needle increases the risk of infection and complications. It is important to avoid popping blisters and to properly care for them to prevent infection.

Incorrect choices:

a. This choice is correct. Daily foot inspection, especially between the toes, is an important part of foot care for clients with diabetes to detect any abnormalities or issues.

c. This choice is correct. Washing the feet daily with mild soap and warm water helps maintain hygiene and prevent infections.

d. This choice is correct. Gently patting the feet dry, especially between the toes, helps prevent moisture buildup and reduces the risk of fungal infections.

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During a foot assessment, the nurse notices a red, warm, and swollen area on the client's foot. Which action should the nurse take next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client with diabetes about foot care. Which statement by the client indicates a need for further teaching?

Correct Answer is B

Explanation

The nurse is teaching a client with diabetes about foot care. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

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During a foot assessment, the nurse notices a red, warm, and swollen area on the client's foot. Which action should the nurse take next?

The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?