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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Popping a blister with a sterile needle increases the risk of infection and complications. It is important to avoid popping blisters and to properly care for them to prevent infection.
Incorrect choices:
a. This choice is correct. Daily foot inspection, especially between the toes, is an important part of foot care for clients with diabetes to detect any abnormalities or issues.
c. This choice is correct. Washing the feet daily with mild soap and warm water helps maintain hygiene and prevent infections.
d. This choice is correct. Gently patting the feet dry, especially between the toes, helps prevent moisture buildup and reduces the risk of fungal infections.
Correct Answer is C
Explanation
Wearing closed-toe shoes with proper arch support helps protect the feet from injuries, pressure points, and potential complications.
Incorrect choices:
a. This choice is correct. Applying a heating pad to the feet before bedtime can increase the risk of burns and skin damage.
b. This choice is correct. Loose-fitting socks and shoes can lead to friction and blisters, increasing the risk of injuries.
d. This choice is correct. Soaking the feet in hot water can lead to dryness and potential skin damage. Warm water is preferable for foot soaking.
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