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.

Answer and Explanation

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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Correct Answer is C

Explanation

Consistently following the healthcare provider's instructions for insulin and medication management is essential in controlling blood sugar levels and promoting wound healing in clients with diabetic foot ulcers.

Incorrect choices:

a. This choice is incorrect. Taking diabetes medication inconsistently can lead to fluctuations in blood sugar levels and hinder wound healing.

b. This choice is incorrect. Checking blood sugar levels once a week is not sufficient for effective diabetes management, especially for individuals with diabetic foot ulcers.

d. This choice is incorrect. Skipping meals can lead to unstable blood sugar levels and negatively impact wound healing and overall health.

A. Checking the temperature of bathwater with the elbow before immersing the feet. B. Walking barefoot on the beach during a sunny day. C. Using adhesive tape to secure dressings on the feet. D. Applying lotion to the feet before bedtime.

Correct Answer is B

Explanation

Walking barefoot on the beach exposes the feet to potential injuries from sharp objects, hot sand, and direct sunlight. Proper footwear should be worn to prevent such injuries.

Incorrect choices:

a. This choice is correct. Checking bathwater temperature with the elbow before immersing the feet helps prevent burns and injuries from hot water.

c. This choice is correct. Using adhesive tape to secure dressings on the feet can help protect wounds and prevent infections.

d. This choice is correct. Applying lotion to the feet before bedtime helps prevent dryness and maintain skin integrity.

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The nurse is assessing a client's foot as part of diabetic foot care. Which finding requires immediate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a client with a diabetic foot ulcer on the importance of controlling blood sugar levels. Which statement by the client indicates effective management of foot ulcers?

Correct Answer is C

Explanation

The nurse is educating a client with diabetes about preventing injuries to the feet. Which activity should the client avoid?

Correct Answer is B

Explanation

The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?

The nurse is educating a client with diabetes about nail care. Which statement by the client indicates effective understanding of nail care practices?

The nurse is educating a client with diabetes about proper footwear. Which statement by the client indicates understanding of the teaching?

The nurse is teaching a client with diabetes about the importance of blood flow to the feet. Which instruction should the nurse provide to promote adequate circulation?

The nurse is educating a client with diabetes about maintaining proper foot hygiene. Which statement accurately reflects the importance of this aspect of foot care?

The nurse is conducting a foot assessment for a client with diabetes. Which action is a priority during the foot examination?

The nurse is assessing a client's feet for potential complications of diabetes. Which finding requires immediate intervention?

The nurse is educating a client with diabetes about proper foot care. Which statement by the client indicates understanding of diabetic foot care?