The nurse is assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?

Mild dryness of the skin on the heels.

A small, superficial blister on the side of the foot.

Redness and warmth on the sole of the foot.

Mild swelling of the ankles.

Answer and Explanation

The Correct Answer is C

Redness and warmth on the sole of the foot may indicate inflammation or infection and require further assessment and intervention to prevent complications.

Incorrect choices:

a. This choice is incorrect. Mild dryness of the skin may require moisturizing but does not necessarily require immediate intervention.

b. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care and monitoring.

d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an immediate need for intervention.

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Correct Answer is C

Explanation

A small, non-painful ulcer on the sole of the foot may indicate tissue breakdown and the potential for infection, requiring immediate intervention.

Incorrect choices:

a. This choice is incorrect. Dry skin with small cracks may require moisturizing and care, but it does not necessarily require immediate intervention.

b. This choice is incorrect. A callus on the side of the foot may require attention, but it does not necessarily require immediate intervention unless it is causing discomfort or open sores.

d. This choice is incorrect. Swelling and redness of the toes may indicate various issues and may not necessarily require immediate intervention unless accompanied by other concerning symptoms.

A. "I will limit my fluid intake to prevent frequent urination." B. "I will drink plenty of water to keep my body hydrated and improve blood circulation." C. "I will drink sugary beverages to provide quick energy for wound healing." D. "I will avoid drinking fluids before bedtime to prevent nighttime urination."

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.

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The nurse is assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client's feet for potential complications of diabetes. Which finding requires immediate intervention?

Correct Answer is C

Explanation

The nurse is providing education to a client with a diabetic foot ulcer about the importance of staying hydrated. Which statement by the client indicates effective understanding of hydration?

Correct Answer is B

Explanation

The nurse is assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?

The nurse is educating a client with diabetes about maintaining proper foot hygiene. Which statement accurately reflects the importance of this aspect of foot care?

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The nurse is discussing strategies to prevent foot injuries with a client who has diabetes. Which statement by the client indicates a need for further education?

The nurse is teaching a client with diabetes about foot care. Which statement by the client indicates a need for further education?