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

Cleaning the ulcer with an antiseptic solution before applying the dressing helps prevent infection and promotes a healthy wound healing environment.

Incorrect choices:

a. This choice is incorrect. Applying petroleum jelly to the ulcer can trap moisture and hinder wound healing.

b. This choice is incorrect. Using adhesive tape directly on the wound can disrupt the wound bed and hinder healing.

c. This choice is incorrect. Changing the dressing every other day may be too frequent and can disrupt the wound healing process. Dressing change frequency should be determined by the healthcare provider based on the wound's condition.

A. "Cross your legs when sitting to improve blood flow." B. "Elevate your legs above heart level to increase circulation." C. "Massage your feet vigorously to stimulate blood flow." D. "Wiggle your toes and move your ankles regularly."

Correct Answer is D

Explanation

Wiggling toes and moving ankles regularly can help promote blood flow and prevent blood pooling in the feet, which is important for maintaining circulation in clients with diabetes.

Incorrect choices:

a. This choice is incorrect. Crossing legs when sitting can impede blood flow and should be avoided to prevent circulatory issues.

b. This choice is incorrect. Elevating the legs above heart level can reduce blood flow and is not recommended for individuals with diabetes.

c. This choice is incorrect. Vigorous foot massage may cause friction and potential harm to the feet, especially for individuals with diabetes who are at risk of developing foot ulcers.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client with a diabetic foot ulcer about proper wound dressing. Which statement by the client indicates understanding of wound management?

Correct Answer is D

Explanation

The nurse is teaching a client with diabetes about the importance of blood flow to the feet. Which instruction should the nurse provide to promote adequate circulation?

Correct Answer is D

Explanation

The nurse is discussing foot care with a client with diabetes. Which statement by the client indicates a good understanding of proper foot care?

The nurse is instructing a client with a diabetic foot ulcer on the importance of controlling blood sugar levels. Which statement by the client indicates effective management of foot ulcers?

The nurse is teaching a client with diabetes about how to trim their toenails. Which instruction should the nurse provide?

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

The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?

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?

The nurse is assessing a client's feet for signs of infection as part of diabetic foot care. Which finding suggests a possible infection?

The nurse is discussing proper footwear with a client who has diabetes. Which statement by the client indicates a need for further education?