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 C
Explanation
Choice A reason:
A registered dietitian is not appropriate as he or she can provide nutritional assessment and guidance to ensure the client's dietary needs are met.
Choice B reason:
A speech-language pathologist is not appropriate because it is crucial for addressing communication and swallowing difficulties that can arise from a stroke.
Choice C reason:
Occupational therapy is the right choice. Clients who have had a stroke often experience difficulties with activities of daily living (ADLs) due to the physical and cognitive changes that can result from the stroke. Occupational therapists are specialized in helping individuals regain or develop the skills needed to perform daily activities and tasks. They can assist stroke survivors in regaining independence in activities such as dressing, grooming, bathing, and feeding.
Choice D reason:
A physical therapist can assist with mobility and improving physical functioning, but since the question specifically mentions assistance with morning ADLs, the occupational therapist is the most appropriate choice.
Correct Answer is B, C, E, D, A
Explanation
B. Provide adequate lighting to inspect the abdomen: Adequate lighting is important to ensure that the nurse can clearly see and assess the client's abdominal area. This step helps identify any visible abnormalities, such as skin changes, scars, masses, or distention.
C. Listen to the abdominal arteries using the bell of a stethoscope: Listening to the abdominal arteries helps the nurse assess blood flow and detect any abnormal vascular sounds, such as bruits or murmurs. This step provides information about vascular health and potential issues related to blood flow.
E. Locate liver and spleen borders by pressing hands 2.5 to 7.5 cm (1 to 3 in) into the abdomen: Palpating and locating the liver and spleen borders help assess the size and position of these organs. It can help identify hepatomegaly (enlarged liver) or splenomegaly (enlarged spleen), which could indicate various underlying conditions.
D.Check for areas of tenderness by pressing fingers 1.3 cm (0.5 in) into the abdomen: Palpating the abdomen for tenderness helps identify areas of discomfort or pain. It can provide information about potential inflammation, organ enlargement, or other sources of discomfort
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