The nurse is educating a client with diabetes about nail care. Which statement by the client indicates effective understanding of nail care practices?
"I will use pointed objects to clean under my toenails."
"I will trim my toenails straight across, leaving them slightly longer at the corners."
"I will soak my feet in hot water before trimming my toenails."
"I will cut my toenails in a curved shape to match the contour of my toes."
The Correct Answer is B
Trimming toenails straight across and slightly longer at the corners helps prevent ingrown toenails and potential injuries for individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. Using pointed objects to clean under toenails can lead to injury and damage to the nail bed.
c. This choice is incorrect. Soaking feet in hot water can increase the risk of skin breakdown and should be avoided.
d. This choice is incorrect. Cutting toenails in a curved shape can increase the risk of ingrown toenails and complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Applying moisturizer to the tops and bottoms of the feet helps prevent dryness and cracking. However, moisturizer should be avoided between the toes to prevent excess moisture buildup and the risk of fungal infections.
Incorrect choices:
a. This choice is incorrect. Applying moisturizer between the toes can lead to excess moisture and increase the risk of fungal infections.
b. This choice is incorrect. Petroleum jelly may not be the best choice for preventing calluses, and it should not be used between the toes.
c. This choice is incorrect. Moisturizers with fragrances and alcohol can dry out the skin and cause irritation, which is not recommended for individuals with diabetes.
Correct Answer is C
Explanation
An area of skin that is cracked and bleeding indicates a breakdown of the skin's integrity, which can lead to infection. Immediate intervention is needed to clean and protect the area.
Incorrect choices:
a. This choice is incorrect. A small callus may require intervention, but it does not necessarily require immediate attention unless it is causing discomfort or open sores.
b. This choice is incorrect. Slight discoloration of the toenails may be due to various factors and does not indicate an immediate need for intervention.
d. This choice is incorrect. Mild swelling of the ankle may require monitoring, but it does not necessarily indicate an immediate need for intervention unless it is accompanied by other concerning symptoms.
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