The nurse is assessing a client's foot for signs of poor circulation. Which finding is indicative of poor circulation?

Capillary refill less than 2 seconds.

Warm and pink skin temperature.

Absence of hair on the toes and feet.

Presence of superficial veins.

Answer and Explanation

The Correct Answer is C

Absence of hair on the toes and feet is indicative of poor circulation, as reduced blood flow to the extremities can lead to decreased hair growth.

Incorrect choices:

a. This choice is incorrect. Capillary refill less than 2 seconds is a normal finding and indicates good circulation.

b. This choice is incorrect. Warm and pink skin temperature is a normal finding and indicates adequate blood flow.

d. This choice is incorrect. The presence of superficial veins does not necessarily indicate poor circulation and can vary among individuals.

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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.

A. "Regular foot inspections can help you choose fashionable and comfortable footwear." B. "Inspecting your feet daily can help you identify potential problems and prevent complications." C. "Foot inspections are only necessary if you develop an infection or injury." D. "You should inspect your feet weekly to ensure proper hygiene."

Correct Answer is B

Explanation

Regular foot inspections, done on a daily basis, help individuals with diabetes identify early signs of problems such as cuts, blisters, or changes in skin integrity. This enables timely intervention to prevent further complications.

Incorrect choices:

a. This choice is incorrect. While choosing comfortable footwear is important, the primary purpose of daily foot inspections is to identify and prevent complications, not fashion.

c. This choice is incorrect. Foot inspections should be performed routinely to prevent complications, rather than waiting for an infection or injury to develop.

d. This choice is incorrect. Weekly foot inspections may not provide timely detection of potential problems, as complications can arise rapidly in individuals with diabetes.

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The nurse is assessing a client's foot for signs of poor circulation. Which finding is indicative of poor circulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

The nurse is discussing diabetic foot care with a client. Which statement accurately reflects the importance of regular foot inspections?

Correct Answer is B

Explanation

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

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?

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 teaching a client with diabetes about proper toenail care. Which statement by the client indicates effective understanding of toenail care?

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

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 assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?