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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Applying moisturizer to the tops and bottoms of the feet helps prevent dryness and cracking. However, moisturizer should be avoided between the toes to prevent excess moisture buildup and the risk of fungal infections.
Incorrect choices:
a. This choice is incorrect. Applying moisturizer between the toes can lead to excess moisture and increase the risk of fungal infections.
b. This choice is incorrect. Petroleum jelly may not be the best choice for preventing calluses, and it should not be used between the toes.
c. This choice is incorrect. Moisturizers with fragrances and alcohol can dry out the skin and cause irritation, which is not recommended for individuals with diabetes.
Correct Answer is B
Explanation
Regular foot inspections, done on a daily basis, help individuals with diabetes identify early signs of problems such as cuts, blisters, or changes in skin integrity. This enables timely intervention to prevent further complications.
Incorrect choices:
a. This choice is incorrect. While choosing comfortable footwear is important, the primary purpose of daily foot inspections is to identify and prevent complications, not fashion.
c. This choice is incorrect. Foot inspections should be performed routinely to prevent complications, rather than waiting for an infection or injury to develop.
d. This choice is incorrect. Weekly foot inspections may not provide timely detection of potential problems, as complications can arise rapidly in individuals with diabetes.
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