The nurse is educating a client with diabetes about foot care. Which statement by the client indicates a need for further education?
"I will wash my feet daily using warm water and mild soap, and then pat them dry."
"I will apply lotion between my toes to keep my skin moisturized."
"I will trim my toenails straight across and file any sharp edges."
"I will wear tight-fitting shoes to prevent my feet from moving inside."
The Correct Answer is D
Tight-fitting shoes can lead to friction, pressure, and poor circulation, increasing the risk of foot ulcers and complications for individuals with diabetes. Proper-fitting shoes are essential for foot care.
Incorrect choices:
a. This choice is correct. Washing feet daily using warm water and mild soap helps maintain hygiene and prevent infections.
b. This choice is correct. Applying lotion between the toes should be avoided to prevent moisture buildup, which can lead to fungal infections.
c. This choice is correct. Trimming toenails straight across and filing sharp edges helps prevent ingrown toenails and injuries.
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Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is D
Explanation
a. Applying lotion between the toes can create a moist environment and increase the risk of fungal infections. It is important to keep the feet clean and dry, especially between the toes.
b. Soaking feet in hot water is not advisable, as hot water can damage the skin and exacerbate dryness. Warm water is preferred, and soaking should be limited.
c. Alcohol-based products can strip the skin of natural oils and cause dryness. Mild soap and water are recommended for cleaning the feet.
d. This approach is appropriate for moisturizing the feet. Gently massaging the lotion helps to ensure even coverage and absorption, which is beneficial for maintaining skin hydration and health.
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