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 C

Explanation

A small, non-painful ulcer on the sole of the foot may indicate tissue breakdown and the potential for infection, requiring immediate intervention.

Incorrect choices:

a. This choice is incorrect. Dry skin with small cracks may require moisturizing and care, but it does not necessarily require immediate intervention.

b. This choice is incorrect. A callus on the side of the foot may require attention, but it does not necessarily require immediate intervention unless it is causing discomfort or open sores.

d. This choice is incorrect. Swelling and redness of the toes may indicate various issues and may not necessarily require immediate intervention unless accompanied by other concerning symptoms.

A. "I will apply moisturizer between my toes to keep the skin soft and prevent dryness." B. "I will use petroleum jelly on my feet to prevent calluses." C. "I will use a moisturizer that contains fragrances and alcohol." D. "I will apply moisturizer to the tops and bottoms of my feet, avoiding the areas between my toes."

Correct Answer is D

Explanation

Applying moisturizer to the tops and bottoms of the feet helps prevent dryness and cracking. However, moisturizer should be avoided between the toes to prevent excess moisture buildup and the risk of fungal infections.

Incorrect choices:

a. This choice is incorrect. Applying moisturizer between the toes can lead to excess moisture and increase the risk of fungal infections.

b. This choice is incorrect. Petroleum jelly may not be the best choice for preventing calluses, and it should not be used between the toes.

c. This choice is incorrect. Moisturizers with fragrances and alcohol can dry out the skin and cause irritation, which is not recommended for individuals with diabetes.

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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 assessing a client's feet for potential complications of diabetes. Which finding requires immediate intervention?

Correct Answer is C

Explanation

The nurse is providing education to a client with diabetes about moisturizing the feet. Which statement by the client indicates effective understanding of foot moisturizing?

Correct Answer is D

Explanation

The nurse is teaching a client with diabetes about preventing foot injuries. Which activity should the client avoid?

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The nurse is educating a client with diabetes about preventing injuries to the feet. Which activity should the client avoid?

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The nurse is educating a client with diabetes about maintaining proper foot hygiene. Which statement accurately reflects the importance of this aspect of foot care?

The nurse is educating a client with a diabetic foot ulcer about proper wound dressing. Which statement by the client indicates understanding of wound management?

During a foot assessment, the nurse observes an area of skin that is discolored, darkened, and slightly raised. The client reports that the area has been present for several weeks. What action should the nurse take?