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
Popping a blister with a sterile needle increases the risk of infection and complications. It is important to avoid popping blisters and to properly care for them to prevent infection.
Incorrect choices:
a. This choice is correct. Daily foot inspection, especially between the toes, is an important part of foot care for clients with diabetes to detect any abnormalities or issues.
c. This choice is correct. Washing the feet daily with mild soap and warm water helps maintain hygiene and prevent infections.
d. This choice is correct. Gently patting the feet dry, especially between the toes, helps prevent moisture buildup and reduces the risk of fungal infections.
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.
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