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 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
Diabetic foot care is essential to prevent serious complications such as foot ulcers and amputations, which can result from poor circulation and nerve damage in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While wanting to have nice-looking feet is a valid concern, the primary focus of diabetic foot care is to prevent complications and ensure overall foot health.
c. This choice is incorrect. Foot care is necessary on a regular basis, not just when pain or discomfort is present, to prevent complications.
d. This choice is incorrect. Changes in skin color are only one aspect of diabetic foot care. Other factors, such as inspecting for cuts, blisters, and sores, are equally important.
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