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 D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Increasing physical activity is a key component of weight loss. It helps to burn calories, build muscle, and boost metabolism. However, physical activity alone may not be sufficient for weight loss. It’s also important to consider dietary habits.
Choice B rationale
Improving diet is another crucial aspect of weight loss. This can involve eating more fruits, vegetables, and whole grains, reducing the intake of processed foods and sugary drinks, and watching portion sizes. However, diet alone may not be enough for weight loss, and it’s also important to incorporate physical activity.
Choice C rationale
Reducing portion sizes can help to decrease calorie intake, which can contribute to weight loss. However, portion control alone may not lead to weight loss if the individual is not consuming a balanced diet or if they are not physically active.
Choice D rationale
All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It’s also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.
Choice B rationale
An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.
Choice C rationale
A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the
virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.
Choice D rationale
An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.
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