The nurse is conducting a foot assessment for a client with diabetes. Which action is a priority during the foot examination?
Assessing the toenail color and applying nail polish.
Inspecting the skin for any cuts, blisters, or abnormalities.
Massaging the feet to improve circulation.
Applying lotion between the toes to prevent dryness.
The Correct Answer is B
Inspecting the skin for cuts, blisters, sores, and other abnormalities is a priority during a foot examination for a client with diabetes. Early detection of these issues can help prevent complications such as infections and ulcers.
Incorrect choices:
a. This choice is incorrect. While assessing toenail color is important, it is not the priority during a foot examination. Applying nail polish should be avoided due to the risk of hiding potential issues.
c. This choice is incorrect. Massaging the feet can be beneficial, but it is not the priority during a foot examination. The focus is on assessing for potential problems.
d. This choice is incorrect. While applying lotion to prevent dryness is important, lotion should not be applied between the toes, as it can create a moist environment that promotes fungal growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Loss of sensation to touch in the feet is consistent with peripheral neuropathy, a common complication of diabetes that affects nerve function.
Incorrect choices:
a. This choice is incorrect. Rapid capillary refill indicates good blood flow and is not directly related to neuropathy.
c. This choice is incorrect. The presence of abundant hair does not directly indicate neuropathy; rather, absence of hair may be more indicative of poor circulation.
d. This choice is incorrect. Normal skin temperature does not necessarily indicate the presence or absence of neuropathy.
Correct Answer is D
Explanation
Wiggling toes and moving ankles regularly can help promote blood flow and prevent blood pooling in the feet, which is important for maintaining circulation in clients with diabetes.
Incorrect choices:
a. This choice is incorrect. Crossing legs when sitting can impede blood flow and should be avoided to prevent circulatory issues.
b. This choice is incorrect. Elevating the legs above heart level can reduce blood flow and is not recommended for individuals with diabetes.
c. This choice is incorrect. Vigorous foot massage may cause friction and potential harm to the feet, especially for individuals with diabetes who are at risk of developing foot ulcers.
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