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 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.

A. "I will limit my fluid intake to prevent frequent urination." B. "I will drink plenty of water to keep my body hydrated and improve blood circulation." C. "I will drink sugary beverages to provide quick energy for wound healing." D. "I will avoid drinking fluids before bedtime to prevent nighttime urination."

Correct Answer is B

Explanation

Adequate hydration is important for overall health and wound healing. Drinking plenty of water helps improve blood circulation and supports the body's healing processes.

Incorrect choices:

a. This choice is incorrect. Limiting fluid intake to prevent frequent urination can lead to dehydration and hinder wound healing.

c. This choice is incorrect. Consuming sugary beverages can negatively impact blood sugar levels and overall health, potentially hindering wound healing.

d. This choice is incorrect. Avoiding fluids before bedtime can increase the risk of dehydration and may not have a significant impact on nighttime urination. Staying hydrated is more important for wound healing.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a foot assessment for a client with diabetes. Which action is a priority during the foot examination?

Correct Answer is B

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?

Correct Answer is B

Explanation

The nurse is discussing strategies to prevent foot injuries with a client who has diabetes. Which statement by the client indicates a need for further education?

The nurse is discussing proper foot hygiene with a client who has diabetes. Which statement by the client indicates a need for further education?

The nurse is discussing proper footwear with a client who has diabetes. Which statement by the client indicates a need for further education?

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

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

The nurse is educating a client with diabetes about proper footwear. Which statement by the client indicates understanding of the teaching?

The nurse is educating a client with diabetes about the importance of diabetic foot care. Which statement by the client indicates a good understanding of the importance of foot care?