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
Proper footwear for clients with diabetes includes shoes with cushioning, good arch support, and adequate room for the toes to prevent pressure points and potential complications.
Incorrect choices:
a. This choice is correct. Shoes with pointed toes can compress the toes and increase the risk of pressure points, ulcers, and other foot issues.
b. This choice is correct. Open-toe shoes and sandals do not provide adequate protection for the feet and may increase the risk of injuries.
c. This choice is correct. Tight shoes can lead to pressure points, reduced circulation, and potential foot complications. Comfort and fit are more important than appearance.
Correct Answer is B
Explanation
The client's statement that wearing tight-fitting shoes is important for preventing friction is incorrect. Tight-fitting shoes can actually increase the risk of friction and pressure, leading to foot problems in individuals with diabetes. Properly fitting shoes with cushioning and support are recommended to prevent foot complications.
Incorrect choices:
a. This choice is incorrect. Daily foot inspection is a crucial aspect of diabetic foot care to detect any cuts, blisters, or changes in the skin.
c. This choice is incorrect. Washing the feet daily with mild soap and warm water is an important hygiene practice to prevent infection.
d. This choice is incorrect. Moisturizing the feet with lotion, while avoiding between the toes, helps prevent dry skin and cracking, which can lead to foot problems.
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