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.
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.
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
Pain and tenderness at the base of the toes may suggest an infection, and further assessment and intervention are needed to prevent complications.
Incorrect choices:
a. This choice is incorrect. Calluses are areas of thickened skin and do not necessarily indicate an infection.
b. This choice is incorrect. Dry and flaky skin may require moisturizing but does not necessarily indicate an infection.
d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an infection.
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