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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Using analgesia around the clock is an appropriate action. The nurse should follow the principle of prevention rather than rescue when managing pain for a client who has terminal cancer. The nurse should administer analgesics on a regular schedule to maintain a steady level of pain relief and prevent breakthrough pain.
Choice B reason: Applying pain patches each morning and removing them at bedtime is not an appropriate action. The nurse should follow the manufacturer's instructions for applying and removing pain patches. Some patches are designed to be worn for 24 hours, while others are worn for 72 hours. Removing the patches too soon can cause inadequate pain control and withdrawal symptoms.
Choice C reason: Using intramuscular medications to control pain is not an appropriate action. The nurse should avoid using intramuscular route for administering analgesics to a client who has terminal cancer. Intramuscular injections are painful, unreliable, and increase the risk of infection and bleeding. The nurse should use oral, transdermal, or subcutaneous routes whenever possible.
Choice D reason: Decreasing a medication dose if the client develops tolerance is not an appropriate action. The nurse should understand that tolerance is a normal physiological response to long-term opioid use and does not indicate addiction or abuse. The nurse should adjust the medication dose according to the client's level of pain and response to treatment.
Correct Answer is A
Explanation
Choice A: This is correct. Phototherapy is a treatment option for psoriasis that involves exposing the skin to ultraviolet light, which can reduce inflammation and slow down the growth of skin cells.
Choice B: This is incorrect. Oil-based ointment is not recommended for psoriasis, as it can clog the pores and worsen the condition.
Choice C: This is incorrect. Dermabrasion is a cosmetic procedure that involves removing the outer layer of skin with a rotating device, which can cause bleeding, infection, and scarring.
Choice D: This is incorrect. Benzoyl peroxide is an acne medication that can dry out and irritate the skin, which can aggravate psoriasis.
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