The nurse is teaching a client with diabetes about how to trim their toenails. Which instruction should the nurse provide?

"Trim your toenails straight across."

"Trim your toenails in a curved shape."

"Trim your toenails as short as possible."

"Trim your toenails at a 90-degree angle."

Answer and Explanation

The Correct Answer is A

Clients with diabetes should be instructed to trim their toenails straight across to prevent ingrown toenails and potential foot infections.

Incorrect choices:

b. This choice is incorrect. Trimming toenails in a curved shape can increase the risk of ingrown toenails and should be avoided.

c. This choice is incorrect. Trimming toenails too short can lead to cuts, infections, and other foot problems.

d. This choice is incorrect. Trimming toenails at a 90-degree angle is not recommended and may lead to ingrown toenails.

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Correct Answer is D

Explanation

An area of deep, blackened tissue indicates tissue necrosis and potential gangrene, which requires immediate intervention to prevent further complications and possible amputation.

Incorrect choices:

a. This choice is incorrect. Dry and slightly rough skin may require moisturizing but does not indicate an immediate need for intervention.

b. This choice is incorrect. Warmth and redness on the sole of the foot may indicate increased blood flow or irritation but does not necessarily require immediate intervention.

c. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care, but it does not require immediate intervention unless it shows signs of infection.

A. "I will choose shoes with pointed toes to give my feet some extra space." B. "I will avoid wearing sandals or open-toe shoes." C. "It's okay to wear tight shoes as long as they look nice." D. "I will make sure my shoes have cushioning and good arch support."

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.

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The nurse is teaching a client with diabetes about how to trim their toenails. Which instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client's foot as part of diabetic foot care. Which finding requires immediate intervention?

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

The nurse is providing education to a client with a diabetic foot ulcer about wound care and infection prevention. Which statement by the client indicates effective understanding of wound management?

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

The nurse is educating a client with diabetes about the importance of proper blood sugar control for foot health. Which statement by the client indicates understanding of the relationship between blood sugar control and foot care?

The nurse is educating a client with diabetes about preventing injuries to the feet. Which activity should the client avoid?

The nurse is assessing a client's feet for potential complications of diabetes. Which finding requires immediate intervention?

The nurse is assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?

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

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?