A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care.
Which of the following instructions should the nurse include?
Wear open-toed shoes.
Wash feet in hot water.
Avoid walking barefoot.
Apply lotion between the toes.
The Correct Answer is C
The correct answer is choice c. Avoid walking barefoot.
Choice A rationale:
Wearing open-toed shoes is not recommended for clients with diabetic neuropathy because it increases the risk of foot injuries and infections. Closed-toed shoes provide better protection.
Choice B rationale:
Washing feet in hot water is not advisable as it can cause burns or damage to the skin, especially since clients with diabetic neuropathy may have reduced sensation and may not feel the temperature accurately. Lukewarm water should be used instead.
Choice C rationale:
Avoiding walking barefoot is crucial for clients with diabetic neuropathy to prevent injuries, cuts, and infections. Walking barefoot increases the risk of stepping on sharp objects or developing sores that may go unnoticed due to reduced sensation.
Choice D rationale:
Applying lotion between the toes is not recommended because it can create a moist environment that promotes fungal infections. Lotion should be applied to the tops and bottoms of the feet, but not between the toes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. Encourage the client to take deep breaths.
Choice A rationale:
Decreasing the head of the client’s bed can worsen oxygenation by compressing the lungs and reducing lung expansion, which is not advisable for a client with low oxygen saturation.
Choice B rationale:
Asking the client to cough every 4 hours can help clear secretions but does not directly address the immediate need to improve oxygen saturation.
Choice C rationale:
Encouraging the client to take deep breaths helps increase lung expansion and improve oxygenation, which is crucial for a client with an oxygen saturation of 88%.
Choice D rationale:
Requesting a prescription for an opioid analgesic is not appropriate in this context as opioids can depress respiratory function, potentially worsening the client’s oxygen saturation.
Correct Answer is A
Explanation
Answer is: A. The client is asleep.
Explanation:
- A. The client is asleep. This is the correct answer because a client who is asleep is likely to have less pain than a client who is awake and restless. Opioid narcotics can also cause sedation, which can indicate effective pain relief.
- B. The client has an elevated blood pressure. This is incorrect because an elevated blood pressure can indicate increased pain, stress, anxiety, or other factors that are not related to pain relief. Opioid narcotics can also cause hypotension, which can indicate overdose or adverse effects.
- C. The client has an increased respiratory rate. This is incorrect because an increased respiratory rate can indicate increased pain, anxiety, hypoxia, or other factors that are not related to pain relief. Opioid narcotics can also cause respiratory depression, which can indicate overdose or adverse effects.
- D. The client is diaphoretic. This is incorrect because diaphoresis can indicate increased pain, fever, infection, or other factors that are not related to pain relief. Opioid narcotics can also cause sweating, which can indicate withdrawal or adverse effects.
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