The nurse is assessing a client's feet for signs of infection as part of diabetic foot care. Which finding suggests a possible infection?
Calluses on the heels and balls of the feet.
Dry and flaky skin on the toes.
Pain and tenderness at the base of the toes.
Mild swelling of the ankles.
The Correct Answer is C
Pain and tenderness at the base of the toes may suggest an infection, and further assessment and intervention are needed to prevent complications.
Incorrect choices:
a. This choice is incorrect. Calluses are areas of thickened skin and do not necessarily indicate an infection.
b. This choice is incorrect. Dry and flaky skin may require moisturizing but does not necessarily indicate an infection.
d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Trimming toenails straight across and slightly longer at the corners helps prevent ingrown toenails and potential injuries for individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. Using pointed objects to clean under toenails can lead to injury and damage to the nail bed.
c. This choice is incorrect. Soaking feet in hot water can increase the risk of skin breakdown and should be avoided.
d. This choice is incorrect. Cutting toenails in a curved shape can increase the risk of ingrown toenails and complications.
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.
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