A nurse is assessing a client who has impaired mobility.
The nurse should monitor the client for a pressure injury due to which of the following factors?

Choice A rationale:

"Apply lotion between the toes.”. Applying lotion between the toes is not a recommended practice for individuals with diabetic neuropathy. The rationale for this is that excess moisture between the toes can create an environment conducive to fungal infections, which individuals with diabetes are more susceptible to due to compromised immune function and poor circulation.

Choice B rationale:

"Wear open-toed shoes.”. Wearing open-toed shoes is generally not recommended for individuals with diabetic neuropathy. Open-toed shoes expose the feet to potential injury and do not provide adequate protection. It's essential to wear closed-toed, well-fitting shoes to prevent foot injuries and complications.

Choice C rationale:

"Avoid walking barefoot.”. The correct answer, "Avoid walking barefoot," is a crucial instruction for individuals with diabetic neuropathy. Walking barefoot increases the risk of injury, as patients with neuropathy may not feel pain or discomfort from small cuts or injuries to their feet. It is essential to protect the feet by wearing shoes or slippers to minimize the risk of wounds and infections.

Choice D rationale:

Choice A rationale:

"Opioid narcotics are restricted for the client because of the risk for addiction.”. This statement is not accurate. Opioid narcotics are not restricted solely due to the risk of addiction. While there is a potential for addiction with opioids, they are still an essential and effective option for managing severe pain, including end-of-life pain. The key is to use them judiciously and monitor for signs of addiction.

Choice B rationale;

"Using opioid narcotics will limit options available for future management of pain.”Using opioids does not limit future pain management options.

Choice C rationale:

"The use of opioid narcotics is restricted to when death is imminent.”. This statement is not accurate either. Opioid narcotics can be used to manage severe pain in various situations, not just when death is imminent. They are not restricted to end-of-life care only.

Choice D rationale:

"The dosage of the opioid narcotic is unlimited.”. The dosage of opioid narcotics can be increased as needed to manage pain effectively. There is no strict limit, and the goal is to provide adequate pain relief.