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 D

Explanation

Proper footwear is essential for protecting the feet from injury and pressure points that can lead to foot ulcers and complications in individuals with diabetes.

Incorrect choices:

a. This choice is incorrect. While proper fit is important, the type and quality of shoes also matter. Not all types of shoes are suitable for individuals with diabetes.

b. This choice is incorrect. While improved balance and coordination can be beneficial, the primary purpose of proper footwear in diabetes is to prevent foot injuries.

c. This choice is incorrect. Shoes with a snug fit can actually increase the risk of friction and pressure, which may lead to foot problems in individuals with diabetes.

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 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 the significance of proper footwear. Which statement accurately describes the importance of appropriate footwear for diabetic foot care?

Correct Answer is D

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

The nurse is educating a client with a diabetic foot ulcer about proper wound dressing. Which statement by the client indicates understanding of wound management?

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 a diabetic foot ulcer about footwear. Which statement by the client indicates a need for further education?

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?

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

The nurse is teaching a client with diabetes about preventing foot injuries. Which activity should the client avoid?

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?