During a home health visit, the nurse observes that an elderly client with type 2 diabetes mellitus is wearing loose cloth slippers.
The client reports discomfort when wearing other shoes due to long toenails.
Upon inspection, the nurse finds long, thick nails that curl under some of the client’s toes. What should the nurse do in this situation?
Demonstrate proper foot care to the client and family.
Gradually trim the client’s toenails over several visits.
Arrange for a home health aide to assist the client with hygiene weekly.
Schedule an appointment for the client with a podiatrist.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.
Choice B rationale
Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.
Choice C rationale
Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.
Choice D rationale
Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the ANA Code of Ethics provides general guidance on ethical nursing practice, it does not provide specific procedures for reporting elder abuse.
Choice B rationale
A nursing procedure manual might not contain the specific legal procedures for reporting elder abuse. These procedures can vary by jurisdiction.
Choice C rationale
State law often provides specific guidelines on how and when to report suspected elder abuse. Therefore, it would be the most appropriate resource for the nurse to use in this situation.
Choice D rationale
The Nurse Practice Act governs nursing practice in each state, but it might not provide detailed procedures for reporting elder abuse.
Correct Answer is ["A","B","C","D","E"]
Explanation
Answer and explanation
The correct answers are Choices A, B, C, D, and E.
Choice A rationale
Feeding assistance may be necessary for an older adult with Parkinson’s disease due to motor symptoms like tremors or stiffness that can make self-feeding difficult. Special utensils and other dining aids can help these individuals maintain their independence during meals.
Choice B rationale
People with Parkinson’s disease can experience changes in their skin, such as becoming oily or flaky. While the term “fragile skin” is not typically used in the context of Parkinson’s, these individuals may have skin that is more susceptible to damage due to these changes.
Choice C rationale
Parkinson’s disease often leads to motor symptoms such as stiff muscles and balance impairment, which can increase the risk of falls. Therefore, measures to prevent falls should be a key part of the care plan for an older adult with Parkinson’s disease.
Choice D rationale
Chronic pain is twice as common in people with Parkinson’s disease as it is in people without the condition. This pain can be caused by various factors, including muscle stiffness and dystonia (painful muscle spasms), and should be addressed in the client’s care plan.
Choice E rationale
Depression is more common in people with Parkinson’s disease compared to the general population. It’s important to monitor for signs of depression in these individuals and provide appropriate treatment if necessary.
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