The LPN is educating a patient newly diagnosed with diabetes about proper foot care. Which of the following, if said by the patient, requires further education on diabetic foot care?

It is ok to walk barefoot outside for a few minutes each day.

I should report any changes, bumps or red spots on my feet.

I should examine my feet daily, including the bottom of the foot.

I should wash my feet daily and dry thoroughly.

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement requires further education because patients with diabetes should never walk barefoot, even for a short period. Neuropathy and poor circulation increase the risk of unnoticed injuries, infections, and ulcers. Walking barefoot exposes the feet to trauma, cuts, and burns, which may not heal properly and can lead to severe complications such as gangrene or amputation.

Choice B reason: This statement is correct because patients with diabetes must promptly report any changes in their feet, such as bumps, redness, or sores. Early detection of problems allows for timely intervention and prevents progression to serious infections or ulcers.

Choice C reason: This statement is correct because daily foot inspection, including the soles and between the toes, is essential. Many diabetic patients develop neuropathy and may not feel injuries. Regular inspection ensures that issues are identified early before they worsen.

Choice D reason: This statement is correct because daily washing and thorough drying of the feet helps prevent fungal infections and maintains skin integrity. Special attention should be given to drying between the toes to avoid moisture buildup, which can lead to infection.

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Correct Answer is A

Explanation

Choice A reason: This is the correct explanation because contact isolation is designed to break the chain of infection. C-Diff spores are highly contagious and can spread through direct or indirect contact. Isolation prevents transmission to other patients, staff, and visitors by enforcing strict infection control measures such as gown and glove use.

Choice B reason: This statement is incorrect because contact isolation is not primarily to protect the patient from infection. The patient already has C-Diff; the purpose is to prevent spreading it to others.

Choice C reason: This statement is incorrect because isolation does not decrease the time needed for patient care. In fact, it often increases the time required due to additional precautions and PPE use.

Choice D reason: This statement is incorrect because both nurses and nursing assistants can provide care under contact isolation, as long as they follow proper infection control protocols. Restricting care to nurses only is unnecessary and impractical.

A. Ensure that the wheelchair is unlocked and can easily move. B. Keep a narrow base of support when assisting the patient. C. Position the bed so the patient’s feet are flat on the floor. D. Limit the patient’s movement during the transfer.

Correct Answer is C

Explanation

Choice A reason: This is incorrect because the wheelchair must be locked before transfer to prevent movement and ensure patient safety. An unlocked wheelchair increases the risk of falls and injury.

Choice B reason: This is incorrect because a wide base of support, not a narrow one, is essential for stability during transfers. A narrow base increases the risk of losing balance.

Choice C reason: This is the correct action because positioning the bed so the patient’s feet are flat on the floor ensures stability and proper body mechanics during transfer. It reduces the risk of falls and helps the patient maintain balance.

Choice D reason: This is incorrect because limiting the patient’s movement is not appropriate. Patients should be encouraged to participate in transfers to the extent possible, which promotes independence and safety.

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The LPN is educating a patient newly diagnosed with diabetes about proper foot care. Which of the following, if said by the patient, requires further education on diabetic foot care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining contact isolation to a patient with C-Diff and the patient’s spouse. What explanation best describes the reasoning for using contact isolation?

Correct Answer is A

Explanation

When transferring a patient from the bed to the wheelchair, the nurse will do which of the following?

Correct Answer is C

Explanation

In an effort to ensure the safety of all patients, the nurse should incorporate which of these practices according to the Joint Commission’s National Patient Safety Goals?

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