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
Daily foot inspections are crucial for detecting any cuts, blisters, sores, or changes in the skin. Early detection and prompt treatment of any foot issues can prevent complications.
Incorrect choices:
a. This choice is incorrect. Soaking feet in hot water can lead to dryness and skin damage, increasing the risk of foot complications.
c. This choice is incorrect. Trimming toenails with pointed scissors can lead to injuries and cuts. Using proper nail clippers and trimming straight across is recommended.
d. This choice is incorrect. Using adhesive tape directly on wounds can disrupt the wound healing process and increase the risk of infection.
Correct Answer is C
Explanation
An area of skin that is cracked and bleeding indicates a breakdown of the skin's integrity, which can lead to infection. Immediate intervention is needed to clean and protect the area.
Incorrect choices:
a. This choice is incorrect. A small callus may require intervention, but it does not necessarily require immediate attention unless it is causing discomfort or open sores.
b. This choice is incorrect. Slight discoloration of the toenails may be due to various factors and does not indicate an immediate need for intervention.
d. This choice is incorrect. Mild swelling of the ankle may require monitoring, but it does not necessarily indicate an immediate need for intervention unless it is accompanied by other concerning symptoms.
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