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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Wearing clean, dry socks and changing them daily helps prevent moisture buildup, which can lead to fungal infections and foot complications in clients with diabetes.
Incorrect choices:
a. This choice is incorrect. Soaking the feet in hot water can lead to dry skin and increased risk of injury. Warm water should be used for foot soaking.
b. This choice is incorrect. Over-the-counter callus removers can cause skin irritation and should be avoided. Clients with diabetes should not attempt to remove calluses at home.
c. This choice is incorrect. Using a mirror to inspect the soles of the feet is a recommended practice for clients who may have difficulty visualizing the bottoms of their feet.
Correct Answer is A
Explanation
Clients with diabetes should be instructed to trim their toenails straight across to prevent ingrown toenails and potential foot infections.
Incorrect choices:
b. This choice is incorrect. Trimming toenails in a curved shape can increase the risk of ingrown toenails and should be avoided.
c. This choice is incorrect. Trimming toenails too short can lead to cuts, infections, and other foot problems.
d. This choice is incorrect. Trimming toenails at a 90-degree angle is not recommended and may lead to ingrown toenails.
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