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
Proper footwear is essential for protecting the feet from injury and pressure points that can lead to foot ulcers and complications in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While proper fit is important, the type and quality of shoes also matter. Not all types of shoes are suitable for individuals with diabetes.
b. This choice is incorrect. While improved balance and coordination can be beneficial, the primary purpose of proper footwear in diabetes is to prevent foot injuries.
c. This choice is incorrect. Shoes with a snug fit can actually increase the risk of friction and pressure, which may lead to foot problems in individuals with diabetes.
Correct Answer is B
Explanation
Loss of sensation to touch in the feet is consistent with peripheral neuropathy, a common complication of diabetes that affects nerve function.
Incorrect choices:
a. This choice is incorrect. Rapid capillary refill indicates good blood flow and is not directly related to neuropathy.
c. This choice is incorrect. The presence of abundant hair does not directly indicate neuropathy; rather, absence of hair may be more indicative of poor circulation.
d. This choice is incorrect. Normal skin temperature does not necessarily indicate the presence or absence of neuropathy.
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