During a home health visit, the nurse observes that an elderly client with type 2 diabetes mellitus is wearing loose cloth slippers.
The client reports discomfort when wearing other shoes due to long toenails.
Upon inspection, the nurse finds long, thick nails that curl under some of the client’s toes. What should the nurse do in this situation?
Demonstrate proper foot care to the client and family.
Gradually trim the client’s toenails over several visits.
Arrange for a home health aide to assist the client with hygiene weekly.
Schedule an appointment for the client with a podiatrist.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.
Choice B rationale
Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.
Choice C rationale
Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.
Choice D rationale
Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
While understanding the type of bicycle injuries sustained can provide useful information for tailoring educational sessions, it does not directly measure the effectiveness of the program. The goal of the program is to eliminate bicycle injuries, so the key measure of success is a decrease in the incidence of these injuries.
Choice B rationale
Surveying parents about their understanding of the educational pamphlet can provide useful feedback on one component of the program. However, it does not directly measure whether the program has achieved its goal of reducing bicycle injuries.
Choice C rationale
Comparing the incidence of bicycle injuries at the beginning and end of the program directly measures the impact of the program on the issue it was designed to address. If the program is effective, there should be a noticeable decrease in the incidence of bicycle injuries.
Choice D rationale
Conducting a survey to assess children’s knowledge of bicycle safety can provide useful information on the educational component of the program. However, increased knowledge does not necessarily translate into behavior change or a decrease in injuries.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Reviewing the child's medical history for any allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the child's symptoms of difficulty focusing in school and decreased appetite may not necessarily be related to allergies or sensitivities. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues²².
Choice B rationale
Examining the child's torso and arms for any signs of physical trauma is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptoms described by the mother do not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptoms.
Choice C rationale
Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to initiate treatment with permethrin would not be appropriate based on the information given.
Choice D rationale
Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues, which would require further investigation²².
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