A nurse is reinforcing teaching about foot care for a client who has diabetes. Which of the following client statements indicates an understanding of the teaching?
I can apply lotion between my toes after showering.
I can wear open-toe shoes.
I should wear cotton socks.
I should round the corners of my toenails when trimming them.
The Correct Answer is C
Choice A: This is incorrect because applying lotion between the toes can create a moist environment that promotes fungal growth and infection. The client should apply lotion to the feet but avoid the areas between the toes.
Choice B: This is incorrect because wearing open-toe shoes can expose the feet to injury and infection. The client should wear well-fitting, closed-toe shoes that protect the feet and prevent pressure ulcers.
Choice C: This is correct because wearing cotton socks can help keep the feet dry and prevent fungal infections. Cotton socks also provide cushioning and reduce friction.
Choice D: This is incorrect because rounding the corners of the toenails can cause ingrown nails, which can lead to infection and ulceration. The client should trim the toenails straight across and file any sharp edges.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Filling the pad with sterile water is not necessary, as tap water can be used for an aquathermia pad without increasing the risk of infection or contamination.
Choice B reason: Using safety pins to secure the pad in place is not appropriate, as they can puncture or damage the pad and cause leakage or electric shock.
Choice C reason: Applying the pad for 45 min at a time is not recommended, as it can cause skin burns or tissue damage due to prolonged exposure to heat. The nurse should apply the pad for no more than 20 min at a time and check the skin frequently for signs of redness or blistering.
Choice D reason: Covering the pad prior to use is an important action, as it can prevent direct contact between the pad and the skin and reduce the risk of burns or irritation. The nurse should use a towel or a cloth to cover the pad before applying it to the affected area.
Correct Answer is B
Explanation
Choice A reason: Blurred vision is not an expected side effect of digoxin, but a sign of digoxin toxicity, which requires immediate medical attention.
Choice B reason: This is the correct answer because digoxin can cause hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Therefore, clients taking digoxin need to have their potassium levels monitored regularly and consume foods rich in potassium.
Choice C reason: Antacids can interfere with the absorption of digoxin and reduce its effectiveness. Clients taking digoxin should avoid taking antacids within two hours of taking the medication.
Choice D reason: Weighing oneself every other day is not related to digoxin therapy, but to fluid balance. Clients with heart failure, who are often prescribed digoxin, need to monitor their weight daily and report any significant changes to their health care provider.
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