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

"I will choose shoes with a wide toe box to prevent pressure on my toes."

"I will break in new shoes by wearing them for long periods of time."

"I will shake out my shoes before putting them on to remove any debris."

"I will wear socks made of moisture-wicking material to keep my feet dry."

Answer and Explanation

The Correct Answer is B

New shoes should be gradually broken in to prevent friction and blisters. Wearing new shoes for long periods of time can lead to discomfort and foot injuries.

Incorrect choices:

a. This choice is correct. Choosing shoes with a wide toe box helps prevent pressure on the toes and reduces the risk of developing foot ulcers.

c. This choice is correct. Shaking out shoes before putting them on helps remove any debris that could cause discomfort or injury to the feet.

d. This choice is correct. Wearing moisture-wicking socks helps keep the feet dry and reduces the risk of moisture-related skin issues.

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Correct Answer is D

Explanation

An area of discolored, darkened, and slightly raised skin that has been present for several weeks may indicate a potential skin condition or complication that requires further evaluation and treatment by a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Applying an antibiotic ointment without a proper diagnosis may not address the underlying issue.

b. This choice is incorrect. The described findings are not consistent with a normal skin variation and require further assessment.

c. This choice is incorrect. While keeping the area dry and clean is important, it may not be sufficient to address the underlying issue.

A. "I should choose shoes with a wide toe box to prevent pressure on my toes." B. "I will check the inside of my shoes for any objects or rough spots that could injure my feet." C. "I will wear tight-fitting socks to keep my feet warm and prevent moisture buildup." D. "I should avoid wearing sandals or shoes with open-toes to protect my feet."

Correct Answer is C

Explanation

Tight-fitting socks can restrict blood flow and increase the risk of friction and pressure on the feet, leading to complications. Loose-fitting socks made of moisture-wicking material are recommended.

Incorrect choices:

a. This choice is correct. Choosing shoes with a wide toe box helps prevent pressure on the toes and reduces the risk of developing foot ulcers.

b. This choice is correct. Checking the inside of shoes for objects or rough spots is important to prevent injuries and friction that can lead to foot ulcers.

d. This choice is correct. Wearing sandals or open-toed shoes increases the risk of injury and exposure to debris, making closed-toe shoes a safer choice for foot protection.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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