The nurse is caring for a male client with diminished circulation in the lower extremities. The client washes his feet in the shower, but is unable to bend safely to dry them. While drying the client's feet, the nurse should emphasize the need to thoroughly dry which area of the feet?
On dorsal surfaces.
Over the heels.
Around the ankles.
Between the toes.
The Correct Answer is D
D. Thoroughly drying between the toes is essential for preventing moisture buildup, which can contribute to the development of fungal infections such as athlete's foot. In a client with diminished circulation in the lower extremities, ensuring proper drying between the toes becomes even more critical to reduce the risk of skin breakdown and infection.
A, B, C- drying the dorsum, heels and ankle regions is important to prevent maceration of skin but they are not the areas commonly affected by infection in cases of compromised circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
To calculate the volume in mL to administer, use the formula:
Volume(mL) = Prescribeddose(mg)/Availableconcentration(mg/mL)
Step 1: Convert the prescribed dose to milligrams
The prescribed dose is 5 grams.
Convert grams to milligrams:
5 grams × 1000 mg/gram = 5000 mg
Step 2: Divide by the concentration
The available concentration is 500 mg/mL.
Calculate the volume:
Volume(mL) = 5000 mg / 500 mg/mL = 10 mL
The nurse should administer 10 mL.
Correct Answer is A
Explanation
A. Delayed or inability to void after catheter removal could indicate urinary retention, which may require further intervention such as bladder scanning, straight catheterization, or reinsertion of a urinary catheter.
B. This is important for assessing the timing of antibiotic therapy but may not be directly related to the client's ability to void after catheter removal.
C. Color of the urine during catheter removal may provide information about the client's urinary status, but it does not confirm whether the client was able to void effectively after catheter removal.
D. Intake and output reports for the previous shift is relevant for assessing fluid balance and urinary output trends but does not specifically address the client's ability to void after catheter removal.
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