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
Using a heating pad to warm the feet can increase the risk of burns and damage to the skin. It is recommended to wear warm socks and appropriate footwear to keep the feet warm.
Incorrect choices:
a. This choice is correct. Inspecting shoes for foreign objects or rough areas before wearing them helps prevent injuries and irritation to the feet.
b. This choice is correct. Walking barefoot, even indoors, increases the risk of injuries, cuts, and infections. Proper footwear should be worn at all times.
c. This choice is correct. Trimming toenails straight across helps prevent ingrown nails, reducing the risk of complications.
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.
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