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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is C
Explanation
Proper foot hygiene, including keeping the feet clean and dry, is essential for preventing fungal infections and skin breakdown in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While overall hygiene can contribute to a healthy immune response, foot hygiene is specifically important for preventing foot-related complications.
b. This choice is incorrect. Toenail color is not the primary focus of foot hygiene. The focus is on preventing infections and skin problems.
d. This choice is incorrect. Foot hygiene does not directly regulate blood glucose levels or prevent foot pain; its primary role is in preventing infections and complications.
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