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 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.

A. "I will limit my fluid intake to prevent frequent urination." B. "I will drink plenty of water to keep my body hydrated and improve blood circulation." C. "I will drink sugary beverages to provide quick energy for wound healing." D. "I will avoid drinking fluids before bedtime to prevent nighttime urination."

Correct Answer is B

Explanation

Adequate hydration is important for overall health and wound healing. Drinking plenty of water helps improve blood circulation and supports the body's healing processes.

Incorrect choices:

a. This choice is incorrect. Limiting fluid intake to prevent frequent urination can lead to dehydration and hinder wound healing.

c. This choice is incorrect. Consuming sugary beverages can negatively impact blood sugar levels and overall health, potentially hindering wound healing.

d. This choice is incorrect. Avoiding fluids before bedtime can increase the risk of dehydration and may not have a significant impact on nighttime urination. Staying hydrated is more important for wound healing.

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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 discussing the importance of regular foot care with a client with diabetes. Which statement accurately explains the rationale for daily foot care?

Correct Answer is B

Explanation

The nurse is providing education to a client with a diabetic foot ulcer about the importance of staying hydrated. Which statement by the client indicates effective understanding of hydration?

Correct Answer is B

Explanation

The nurse is teaching a client with diabetes about foot care. Which statement by the client indicates a need for further education?

During a foot assessment, the nurse observes an area of skin that is discolored, darkened, and slightly raised. The client reports that the area has been present for several weeks. What action should the nurse take?

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

The nurse is discussing proper footwear with a client who has diabetes. Which statement by the client indicates a need for further education?

The nurse is providing education to a client with diabetes about moisturizing the feet. Which statement by the client indicates understanding of proper moisturizing techniques?

The nurse is teaching a client with diabetes about preventing injuries to the feet. Which statement by the client indicates a need for further education?

The nurse is assessing a client's feet for signs of infection as part of diabetic foot care. Which finding suggests a possible infection?

The nurse is instructing a client with diabetes on how to perform a self-foot assessment. Which statement by the client indicates effective understanding of the assessment technique?