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

Dry skin with small cracks on the heels.

A callus on the side of the foot.

A small, non-painful ulcer on the sole of the foot.

Swelling and redness of the toes.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is D

Explanation

A red, warm, and swollen area on the foot may indicate an infection or inflammation, which requires further evaluation and treatment by a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Applying heat to an already warm and swollen area may exacerbate inflammation and should be avoided.

b. This choice is incorrect. While elevation and rest can be beneficial for certain foot conditions, they may not be sufficient for addressing infection or inflammation.

c. This choice is incorrect. Massaging the area may further irritate the inflamed tissues and is not recommended without proper assessment and guidance from a healthcare provider.

A. "I will avoid crossing my legs to prevent pressure on my feet." B. "I will wear clean, dry socks and change them daily." C. "I will use a pumice stone to remove calluses from my feet." D. "I will use a mirror to inspect the bottom of my feet if I can't see them clearly."

Correct Answer is A

Explanation

Avoiding leg crossing does not directly relate to preventing foot injuries. It is important to focus on wearing proper footwear, maintaining foot hygiene, and checking for signs of injury.

Incorrect choices:

b. This choice is correct. Wearing clean, dry socks and changing them daily helps prevent moisture buildup and reduces the risk of infections.

c. This choice is correct. Using a pumice stone to gently remove calluses helps prevent excessive skin thickening and pressure points.

d. This choice is correct. Using a mirror to inspect the bottom of the feet helps detect any changes or abnormalities that may not be visible directly.

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

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Naxlex Comprehensive Predictor Exams

During a foot assessment, the nurse notices a red, warm, and swollen area on the client's foot. Which action should the nurse take next?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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?

The nurse is providing education to a client with a diabetic foot ulcer about wound care and infection prevention. Which statement by the client indicates effective understanding of wound management?

The nurse is educating a client with diabetes about nail care. Which statement by the client indicates effective understanding of nail care practices?

The nurse is teaching a client with diabetes about preventing injuries to the feet. Which statement by the client indicates a need for further education?

The nurse is educating a client with diabetes about the importance of proper blood sugar control for foot health. Which statement by the client indicates understanding of the relationship between blood sugar control and foot care?

The nurse is educating a client with diabetes about proper foot care. Which statement by the client indicates understanding of diabetic foot care?

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

The nurse is teaching a client with diabetes about the importance of avoiding tight socks or stockings. Which information should the nurse include in the teaching?