A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates understanding of the teaching?
"I should use my wrist to test the temperature of the water before bathing."
"I should put lotion between my toes every day to prevent dryness and cracking."
"I should apply a heating pad to my feet every night to help with circulation."
"I should round the corners of my toenails with a nail file to prevent ingrown nails."
The Correct Answer is A
A. "I should use my wrist to test the temperature of the water before bathing": This is correct as using the wrist to test water temperature helps prevent burns or injuries, which is crucial for individuals with diabetes who may have reduced sensation in their feet.
B. "I should put lotion between my toes every day to prevent dryness and cracking": This is incorrect because applying lotion between the toes can promote fungal infections. Lotion should be applied to the tops and soles of the feet, avoiding the spaces between the toes.
C. "I should apply a heating pad to my feet every night to help with circulation": This is incorrect as heating pads can cause burns due to decreased sensation. It is safer to avoid direct heat applications.
D. "I should round the corners of my toenails with a nail file to prevent ingrown nails": This is incorrect; toenails should be trimmed straight across to prevent ingrown nails rather than rounded.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clean the client's finger with hexachlorophene: Hexachlorophene is not recommended for cleaning the skin before blood glucose testing; a mild soap and water or an alcohol swab is typically used.
B. Apply the first drop of blood to the test strip: The first drop of blood is often not used due to potential contamination; the nurse should usually wipe away the first drop and use the second one.
C. Hold the client's finger in a dependent position: This is correct as holding the finger downward can help increase blood flow to the fingertip, facilitating easier blood collection.
D. Prick the central tip of the client's finger: Pricking the central tip can be painful; the sides of the fingertip are preferred for less discomfort and to avoid nerve endings.
Correct Answer is A
Explanation
A. Increase the IV flow rate: This is correct as the client's blood pressure is low, which could indicate hypovolemia or shock. Increasing the IV flow rate can help improve blood volume and blood pressure.
B. Cover the client with a warm blanket: While this can help with hypothermia, it does not address the immediate concern of low blood pressure.
C. Compare the reading to the preoperative value: Comparing to the preoperative value can provide context but does not directly address the current low blood pressure.
D. Reassure the client: Reassuring the client is important but not the first priority. Addressing the physiological issue of low blood pressure should be the initial focus.
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