A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
"I should soak my feet in warm water daily to soften corns and calluses."
"I can place an oval corn pad over toes that have corn as long as I remove the pad weekly."
"I should use an over-the-counter liquid medication to remove corns."
"I can apply lotion to soften calluses as long as I don't put lotion between my toes."
The Correct Answer is D
Choice A reason:
Soaking feet in warm water daily is not recommended for individuals with diabetes, as it can increase the risk of skin maceration and infection. People with diabetes should be cautious about foot care practices that involve prolonged moisture exposure.
Choice B reason:
Placing an oval corn pad over the toes with corn and removing it weekly may not be the best approach, as it can increase pressure on the area and potentially cause further skin irritation.
Choice C reason:
Using over-the-counter liquid medication to remove corns is not recommended for individuals with diabetes, as it can cause skin irritation, burns, or infection. It's important for individuals with diabetes to seek professional guidance for proper foot care.
Choice D reason:
"I can apply lotion to soften calluses as long as I don't put lotion between my toes." This is the correct statement. This statement indicates an understanding of proper care for corns and calluses. Applying lotion to soften calluses can help reduce discomfort, but it's important to avoid putting lotion between the toes to prevent excess moisture build-up that could lead to skin breakdown or infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason:
Supplemental oxygen supplies are correct. Seizures can sometimes cause a decrease in oxygen levels, so having supplemental oxygen available can help support the client's respiratory needs.
Choice B reason:
Limb restraints are incorrect. Limb restraints are not typically used for seizure precautions as they can be dangerous and restrict the client's movement, potentially causing harm during a seizure.
Choice C reason:
Oral suction equipment is correct. Seizures can be associated with excessive saliva or potential vomiting, so having oral suction equipment ready can help clear the airway if necessary.
Choice D reason:
The oral airway is incorrect. Inserting an oral airway is not a standard part of seizure precautions and should only be used by healthcare professionals with proper training.
Choice E reason:
The blood glucose monitor is correct. Monitoring blood glucose levels can be important, especially if the client takes antiepileptic medications that may affect blood sugar levels.
Correct Answer is D
Explanation
A. Develop a plan for the client to integrate the change into her lifestyle: Developing a plan for integrating change into one's lifestyle is more appropriate during the preparation stage when the client is actively planning to make a change. During the contemplation stage, the focus is on considering change rather than developing a detailed plan.
B. Assist the client in setting goals to make the change: Setting specific goals is more appropriate during the preparation stage when the client is actively planning to make a change. During the contemplation stage, the client is not yet ready to commit to specific goals.
C. Recommend small changes for the client to make to change her behavior over time: During the contemplation stage of health behavior change, clients are considering making a change but are not yet committed to taking immediate action. This is also more suitable for the preparation or action stages.
D. In the contemplation stage, the client is aware of the problem and is considering making a change but has not yet committed to action. Providing information about the benefits can help the client move toward the next stage of change.
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