A nurse is reinforcing teaching about foot care with a client who has type 2 diabetes mellitus.
Which of the following statements by the client indicates an understanding of the teaching?
"I need to use iodine to disinfect cuts on my feet.”
"I will wear a clean pair of cotton socks each day.”
"I should soak my feet in warm water every morning.”
"I can remove ingrown toenails at home as needed.”
The Correct Answer is B
Choice A rationale:
Using iodine to disinfect cuts on the feet is not recommended for individuals with diabetes. Iodine can be harsh and may delay wound healing. It's better to clean cuts with mild soap and water and consult a healthcare professional for proper wound care.
Choice B rationale:
Wearing a clean pair of cotton socks each day is an excellent practice for someone with diabetes. Cotton socks can help absorb moisture and reduce the risk of fungal infections and pressure sores.
Choice C rationale:
Soaking feet in warm water every morning is not recommended for individuals with diabetes, as it can lead to skin drying and cracking. It's better to soak feet in lukewarm water occasionally, not daily, and to moisturize afterward.
Choice D rationale:
Attempting to remove ingrown toenails at home is not advisable for individuals with diabetes, as it can lead to infection and complications. Clients with diabetes should seek professional foot care for any foot issues, including ingrown toenails.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Decreased platelets are not typically an indicator of infection. Platelet levels may decrease in conditions like thrombocytopenia, but they are not a specific indicator of infection.
Choice B rationale:
Increased erythrocyte sedimentation rate (ESR) is an indicator of infection. An elevated ESR is a nonspecific marker of inflammation in the body, which can be seen in response to infection, among other conditions.
Choice C rationale:
Decreased hemoglobin is not typically an indicator of infection. Hemoglobin levels may decrease in conditions like anemia, but they are not a specific indicator of infection.
Choice D rationale:
Increased iron levels are not typically an indicator of infection. Iron levels can vary for various reasons, but they are not a direct marker of infection.
Correct Answer is C
Explanation
Choice A rationale:
Writing a client's diagnosis on the message board in the client's room is not an example of protecting client confidentiality. This action violates the client's right to privacy and confidentiality as it exposes the diagnosis to anyone who enters the room.
Choice B rationale:
Discarding worksheets containing client information in a wastebasket is not an example of protecting client confidentiality. Proper disposal of sensitive information is essential to maintain confidentiality, and discarding such materials without proper shredding or disposal methods can compromise confidentiality.
Choice C rationale:
Giving change-of-shift report to a nurse outside the client's room is an example of protecting client confidentiality. This action ensures that confidential patient information is shared in a private and secure manner, away from the ears of unauthorized individuals. It upholds the principles of client privacy and confidentiality.
Choice D rationale:
Discussing a client's prognosis with an assistive personnel who is caring for the client is not an example of protecting client confidentiality. Prognosis information is sensitive and should only be shared with healthcare professionals directly involved in the client's care and who have a need to know.
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