The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?

A small callus on the side of the foot.

Slight discoloration of the toenails.

An area of skin that is cracked and bleeding.

Mild swelling of the ankle.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

Consistently following the healthcare provider's instructions for insulin and medication management is essential in controlling blood sugar levels and promoting wound healing in clients with diabetic foot ulcers.

Incorrect choices:

a. This choice is incorrect. Taking diabetes medication inconsistently can lead to fluctuations in blood sugar levels and hinder wound healing.

b. This choice is incorrect. Checking blood sugar levels once a week is not sufficient for effective diabetes management, especially for individuals with diabetic foot ulcers.

d. This choice is incorrect. Skipping meals can lead to unstable blood sugar levels and negatively impact wound healing and overall health.

A. "I will apply lotion between my toes after washing my feet." B. "I will soak my feet in hot water before applying moisturizer." C. "I will use alcohol-based products to keep my feet clean and dry." D. "I will massage lotion onto my feet using gentle rubbing motions."

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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The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?

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Naxlex Comprehensive Predictor Exams

The nurse is instructing a client with a diabetic foot ulcer on the importance of controlling blood sugar levels. Which statement by the client indicates effective management of foot ulcers?

Correct Answer is C

Explanation

The nurse is providing education to a client with diabetes about moisturizing the feet. Which statement by the client indicates understanding of proper moisturizing techniques?

Correct Answer is D

Explanation

The nurse is providing education to a client with a diabetic foot ulcer about the importance of staying hydrated. Which statement by the client indicates effective understanding of hydration?

The nurse is assessing a client's feet for neuropathy. Which finding is consistent with peripheral neuropathy?

The nurse is educating a client with diabetes about the importance of proper footwear. Which type of footwear is most suitable for this client?

The nurse is assessing a client's feet for signs of infection as part of diabetic foot care. Which finding suggests a possible infection?

The nurse is discussing foot care with a client with diabetes. Which statement by the client indicates a good understanding of proper foot care?

The nurse is teaching a client with diabetes about the importance of blood flow to the feet. Which instruction should the nurse provide to promote adequate circulation?

The nurse is discussing the importance of regular foot care with a client with diabetes. Which statement accurately explains the rationale for daily foot care?

The nurse is providing education to a client with diabetes about foot care. Which statement by the client indicates a need for further teaching?