The nurse is assessing a client's foot as part of diabetic foot care. Which finding requires immediate intervention?
Dry and slightly rough skin.
Warmth and redness on the sole of the foot.
A small, superficial blister on the heel.
An area of deep, blackened tissue.
The Correct Answer is D
An area of deep, blackened tissue indicates tissue necrosis and potential gangrene, which requires immediate intervention to prevent further complications and possible amputation.
Incorrect choices:
a. This choice is incorrect. Dry and slightly rough skin may require moisturizing but does not indicate an immediate need for intervention.
b. This choice is incorrect. Warmth and redness on the sole of the foot may indicate increased blood flow or irritation but does not necessarily require immediate intervention.
c. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care, but it does not require immediate intervention unless it shows signs of infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Daily foot care is crucial to prevent foot complications and identify problems early, such as cuts, blisters, or changes in skin integrity, which can lead to serious complications in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While daily foot care is important, its primary focus is on preventing foot complications, not weight loss or diabetes management.
c. This choice is incorrect. Foot care should be performed routinely, not just when numbness or tingling is experienced, to prevent complications.
d. This choice is incorrect. Waiting until a visible foot injury is noticed may lead to delayed intervention and increased risk of complications. Daily foot care is preventive in nature.
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