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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Adequate hydration is important for overall health and wound healing. Drinking plenty of water helps improve blood circulation and supports the body's healing processes.
Incorrect choices:
a. This choice is incorrect. Limiting fluid intake to prevent frequent urination can lead to dehydration and hinder wound healing.
c. This choice is incorrect. Consuming sugary beverages can negatively impact blood sugar levels and overall health, potentially hindering wound healing.
d. This choice is incorrect. Avoiding fluids before bedtime can increase the risk of dehydration and may not have a significant impact on nighttime urination. Staying hydrated is more important for wound healing.
Correct Answer is B
Explanation
Trimming toenails straight across and slightly longer at the corners helps prevent ingrown toenails and potential injuries for individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. Using pointed objects to clean under toenails can lead to injury and damage to the nail bed.
c. This choice is incorrect. Soaking feet in hot water can increase the risk of skin breakdown and should be avoided.
d. This choice is incorrect. Cutting toenails in a curved shape can increase the risk of ingrown toenails and complications.
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