The practical nurse (PN) is observing a newly hired unlicensed assistive personnel (UAP) bathing a client who has type 2 diabetes mellitus (DM). The UAP places the client's feet in a wash basin filled with warm soapy water to soak. Which action should the PN take?
Make sure UAP has changed gloves.
Tell the UAP not to soak the feet.
Check the client's feet before soaking.
Test the temperature of the water.
The Correct Answer is B
A. Changing gloves is important for infection control, but in this context, the main issue is with the technique being used for the client's feet.
B. Soaking the feet is not recommended for clients with diabetes due to the risk of skin damage and infection; it is better to wash the feet gently and inspect them regularly.
C. Checking the client’s feet is important but should be done before washing or soaking, and the main concern here is not to soak the feet at all.
D. While testing water temperature is crucial for safe bathing, the more pressing issue here is the method of foot care for a diabetic client, which is not to soak the feet
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A. Urinalysis is not directly related to evaluating the effectiveness of an antibiotic for a respiratory tract infection.
B. Sputum culture and sensitivity are crucial in determining the specific bacteria causing the infection and assessing the antibiotic’s effectiveness in eradicating the pathogen.
C. Prothrombin time is related to blood clotting and is not relevant to monitoring the effectiveness of an antibiotic for a respiratory infection.
D. Serum potassium is important for monitoring electrolyte balance but does not directly evaluate the effectiveness of an antibiotic.
E. White blood cell count is a key indicator of infection and inflammation; a decrease in WBC count suggests that the antibiotic is effectively combating the infection.
F. Capillary glucose monitoring is more relevant to diabetic management and is not used to evaluate antibiotic effectiveness.
Correct Answer is C
Explanation
A. Feeling for a carotid pulse is part of the assessment process but is not the first step in responding to an unresponsive client. Immediate action to summon emergency help is the priority.
B. Bringing a glucometer to the room is not appropriate at this stage. While checking blood glucose might be necessary, the first step is to get emergency assistance.
C. Obtaining emergency help is the most critical first step when encountering an unresponsive client. Emergency help ensures that appropriate interventions are initiated promptly.
D. Checking the blood pressure is part of a complete assessment but is not the most urgent action. The priority is to call for emergency assistance rather than performing further assessments.
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