A nurse is collecting data from a client who has diabetes mellitus.
The nurse should ask which of the following to determine the client's ability to provide foot self-hygiene?
Do you have any problems taking care of your feet?
Do you go barefoot at home?
Have you noticed any problems with foot swelling?
Have you had a problem with ingrown toenails?
The Correct Answer is A
Choice A rationale
Asking if there are any problems taking care of feet directly assesses the client’s ability to perform foot self-hygiene. It opens up discussion about specific difficulties the client may face, such as flexibility, vision, or dexterity issues.
Choice B rationale
Asking if the client goes barefoot at home is related to foot safety but does not directly assess their ability to perform foot self-hygiene. It's important for preventing injuries and infections, especially in clients with diabetes.
Choice C rationale
Inquiring about foot swelling helps identify potential complications related to diabetes but does not address the client's ability to perform foot self-care.
Choice D rationale
Asking about problems with ingrown toenails is specific to a common issue in diabetic foot care but does not provide a comprehensive assessment of the client’s ability to maintain foot hygiene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Unequal height of the shoulders is a common indication of scoliosis. This asymmetry is often observed when a person bends forward and is a key sign during scoliosis screening.
Choice B rationale
Increased concave curve of the thoracic spine is more indicative of kyphosis, not scoliosis. Scoliosis involves a lateral curvature of the spine rather than an increase in the concave curve.
Choice C rationale
Expansion of the upper intercostal spaces is not typically associated with scoliosis. This finding is more related to respiratory conditions and does not indicate spinal curvature.
Choice D rationale
Increased convex curve of the cervical spine indicates lordosis, a condition affecting the lower spine. It is not a sign of scoliosis, which involves a lateral curve rather than a convex or concave increase.
Correct Answer is C
Explanation
Choice A rationale
Orthostatic hypotension is characterized by a sudden drop in blood pressure when standing up, often due to dehydration, medication side effects, or autonomic dysfunction. While concerning, it is not a direct risk factor for cardiovascular disease.
Choice B rationale
A BMI of 24 is within the normal range (18.5–24.9) and is not considered a risk factor for cardiovascular disease. Maintaining a healthy BMI is part of cardiovascular disease prevention.
Choice C rationale
Type 1 diabetes mellitus significantly increases the risk of cardiovascular disease due to its impact on blood vessels and the heart. It is a well-documented risk factor requiring careful management.
Choice D rationale
A family history of osteoporosis is relevant for bone health but does not directly increase the risk of cardiovascular disease. Cardiovascular risk factors are more closely related to metabolic and lifestyle factors.
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