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?
Apply an antibiotic ointment to the area.
Document the findings as a normal skin variation.
Instruct the client to keep the area dry and clean.
Refer the client for further evaluation by a healthcare provider.
The Correct Answer is D
An area of discolored, darkened, and slightly raised skin that has been present for several weeks may indicate a potential skin condition or complication that requires further evaluation and treatment by a healthcare provider.
Incorrect choices:
a. This choice is incorrect. Applying an antibiotic ointment without a proper diagnosis may not address the underlying issue.
b. This choice is incorrect. The described findings are not consistent with a normal skin variation and require further assessment.
c. This choice is incorrect. While keeping the area dry and clean is important, it may not be sufficient to address the underlying issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Cutting toenails straight across and avoiding cutting the corners helps prevent ingrown toenails and reduces the risk of injury and infection.
Incorrect choices:
a. This choice is incorrect. Cutting toenails at an angle can lead to ingrown toenails and increase the risk of injury.
b. This choice is incorrect. Filing toenails in a rounded shape can create sharp edges and increase the risk of ingrown toenails.
d. This choice is incorrect. Soaking feet in warm water before trimming toenails can lead to excessive moisture and increase the risk of infection.
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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