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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Closed-toe shoes with cushioning and support are the most suitable footwear for a client with diabetes. These shoes provide protection, reduce friction, and help prevent foot complications.
Incorrect choices:
a. This choice is incorrect. High-heeled shoes can increase pressure on certain areas of the feet and may lead to discomfort and foot problems for individuals with diabetes.
b. This choice is incorrect. Tight-fitting shoes can lead to friction, pressure, and potential foot injuries in individuals with diabetes.
c. This choice is incorrect. Open-toed sandals do not provide adequate protection and support for the feet, which is essential for preventing foot complications.
Correct Answer is C
Explanation
Shoes with closed-toes and a wide toe box provide protection, support, and ample space for toes, reducing the risk of pressure, friction, and ulcers for individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. Tight-fitting shoes can lead to pressure and friction, increasing the risk of foot ulcers and complications.
b. This choice is incorrect. Wearing socks is recommended to prevent friction and moisture buildup, reducing the risk of fungal infections.
d. This choice is incorrect. High-heeled shoes can alter foot mechanics, increase pressure, and negatively impact blood circulation, posing risks for individuals with diabetes.
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