Endocrine Systems > Medical Surgical
Exam Review
Diabetic Foot care
Total Questions : 45
Showing 45 questions, Sign in for moreThe nurse is providing education to a client with diabetes about foot care. Which statement by the client indicates a need for further teaching?
Explanation
The client's statement that wearing tight-fitting shoes is important for preventing friction is incorrect. Tight-fitting shoes can actually increase the risk of friction and pressure, leading to foot problems in individuals with diabetes. Properly fitting shoes with cushioning and support are recommended to prevent foot complications.
Incorrect choices:
a. This choice is incorrect. Daily foot inspection is a crucial aspect of diabetic foot care to detect any cuts, blisters, or changes in the skin.
c. This choice is incorrect. Washing the feet daily with mild soap and warm water is an important hygiene practice to prevent infection.
d. This choice is incorrect. Moisturizing the feet with lotion, while avoiding between the toes, helps prevent dry skin and cracking, which can lead to foot problems.
The nurse is educating a client with diabetes about the importance of proper footwear. Which type of footwear is most suitable for this client?
Explanation
Closed-toe shoes with cushioning and support are the most suitable footwear for a client with diabetes. These shoes provide protection, reduce friction, and help prevent foot complications.
Incorrect choices:
a. This choice is incorrect. High-heeled shoes can increase pressure on certain areas of the feet and may lead to discomfort and foot problems for individuals with diabetes.
b. This choice is incorrect. Tight-fitting shoes can lead to friction, pressure, and potential foot injuries in individuals with diabetes.
c. This choice is incorrect. Open-toed sandals do not provide adequate protection and support for the feet, which is essential for preventing foot complications.
The nurse is teaching a client with diabetes about how to trim their toenails. Which instruction should the nurse provide?
Explanation
Clients with diabetes should be instructed to trim their toenails straight across to prevent ingrown toenails and potential foot infections.
Incorrect choices:
b. This choice is incorrect. Trimming toenails in a curved shape can increase the risk of ingrown toenails and should be avoided.
c. This choice is incorrect. Trimming toenails too short can lead to cuts, infections, and other foot problems.
d. This choice is incorrect. Trimming toenails at a 90-degree angle is not recommended and may lead to ingrown toenails.
The nurse is discussing foot care with a client with diabetes. Which statement by the client indicates a good understanding of proper foot care?
Explanation
Wearing clean, dry socks and changing them daily helps prevent moisture buildup, which can lead to fungal infections and foot complications in clients with diabetes.
Incorrect choices:
a. This choice is incorrect. Soaking the feet in hot water can lead to dry skin and increased risk of injury. Warm water should be used for foot soaking.
b. This choice is incorrect. Over-the-counter callus removers can cause skin irritation and should be avoided. Clients with diabetes should not attempt to remove calluses at home.
c. This choice is incorrect. Using a mirror to inspect the soles of the feet is a recommended practice for clients who may have difficulty visualizing the bottoms of their feet.
The nurse is teaching a client with diabetes about the importance of blood flow to the feet. Which instruction should the nurse provide to promote adequate circulation?
Explanation
Wiggling toes and moving ankles regularly can help promote blood flow and prevent blood pooling in the feet, which is important for maintaining circulation in clients with diabetes.
Incorrect choices:
a. This choice is incorrect. Crossing legs when sitting can impede blood flow and should be avoided to prevent circulatory issues.
b. This choice is incorrect. Elevating the legs above heart level can reduce blood flow and is not recommended for individuals with diabetes.
c. This choice is incorrect. Vigorous foot massage may cause friction and potential harm to the feet, especially for individuals with diabetes who are at risk of developing foot ulcers.
The nurse is educating a client with diabetes about the importance of diabetic foot care. Which statement by the client indicates a good understanding of the importance of foot care?
Explanation
Diabetic foot care is essential to prevent serious complications such as foot ulcers and amputations, which can result from poor circulation and nerve damage in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While wanting to have nice-looking feet is a valid concern, the primary focus of diabetic foot care is to prevent complications and ensure overall foot health.
c. This choice is incorrect. Foot care is necessary on a regular basis, not just when pain or discomfort is present, to prevent complications.
d. This choice is incorrect. Changes in skin color are only one aspect of diabetic foot care. Other factors, such as inspecting for cuts, blisters, and sores, are equally important.
The nurse is discussing diabetic foot care with a client. Which statement accurately reflects the importance of regular foot inspections?
Explanation
Regular foot inspections, done on a daily basis, help individuals with diabetes identify early signs of problems such as cuts, blisters, or changes in skin integrity. This enables timely intervention to prevent further complications.
Incorrect choices:
a. This choice is incorrect. While choosing comfortable footwear is important, the primary purpose of daily foot inspections is to identify and prevent complications, not fashion.
c. This choice is incorrect. Foot inspections should be performed routinely to prevent complications, rather than waiting for an infection or injury to develop.
d. This choice is incorrect. Weekly foot inspections may not provide timely detection of potential problems, as complications can arise rapidly in individuals with diabetes.
The nurse is teaching a client with diabetes about the significance of proper footwear. Which statement accurately describes the importance of appropriate footwear for diabetic foot care?
Explanation
Proper footwear is essential for protecting the feet from injury and pressure points that can lead to foot ulcers and complications in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While proper fit is important, the type and quality of shoes also matter. Not all types of shoes are suitable for individuals with diabetes.
b. This choice is incorrect. While improved balance and coordination can be beneficial, the primary purpose of proper footwear in diabetes is to prevent foot injuries.
c. This choice is incorrect. Shoes with a snug fit can actually increase the risk of friction and pressure, which may lead to foot problems in individuals with diabetes.
The nurse is educating a client with diabetes about maintaining proper foot hygiene. Which statement accurately reflects the importance of this aspect of foot care?
Explanation
Proper foot hygiene, including keeping the feet clean and dry, is essential for preventing fungal infections and skin breakdown in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While overall hygiene can contribute to a healthy immune response, foot hygiene is specifically important for preventing foot-related complications.
b. This choice is incorrect. Toenail color is not the primary focus of foot hygiene. The focus is on preventing infections and skin problems.
d. This choice is incorrect. Foot hygiene does not directly regulate blood glucose levels or prevent foot pain; its primary role is in preventing infections and complications.
The nurse is discussing the importance of regular foot care with a client with diabetes. Which statement accurately explains the rationale for daily foot care?
Explanation
Daily foot care is crucial to prevent foot complications and identify problems early, such as cuts, blisters, or changes in skin integrity, which can lead to serious complications in individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. While daily foot care is important, its primary focus is on preventing foot complications, not weight loss or diabetes management.
c. This choice is incorrect. Foot care should be performed routinely, not just when numbness or tingling is experienced, to prevent complications.
d. This choice is incorrect. Waiting until a visible foot injury is noticed may lead to delayed intervention and increased risk of complications. Daily foot care is preventive in nature.
The nurse is conducting a foot assessment for a client with diabetes. Which action is a priority during the foot examination?
Explanation
Inspecting the skin for cuts, blisters, sores, and other abnormalities is a priority during a foot examination for a client with diabetes. Early detection of these issues can help prevent complications such as infections and ulcers.
Incorrect choices:
a. This choice is incorrect. While assessing toenail color is important, it is not the priority during a foot examination. Applying nail polish should be avoided due to the risk of hiding potential issues.
c. This choice is incorrect. Massaging the feet can be beneficial, but it is not the priority during a foot examination. The focus is on assessing for potential problems.
d. This choice is incorrect. While applying lotion to prevent dryness is important, lotion should not be applied between the toes, as it can create a moist environment that promotes fungal growth.
The nurse is assessing a client's foot as part of diabetic foot care. Which finding requires immediate intervention?
Explanation
An area of deep, blackened tissue indicates tissue necrosis and potential gangrene, which requires immediate intervention to prevent further complications and possible amputation.
Incorrect choices:
a. This choice is incorrect. Dry and slightly rough skin may require moisturizing but does not indicate an immediate need for intervention.
b. This choice is incorrect. Warmth and redness on the sole of the foot may indicate increased blood flow or irritation but does not necessarily require immediate intervention.
c. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care, but it does not require immediate intervention unless it shows signs of infection.
During a foot assessment, the nurse notices a red, warm, and swollen area on the client's foot. Which action should the nurse take next?
Explanation
A red, warm, and swollen area on the foot may indicate an infection or inflammation, which requires further evaluation and treatment by a healthcare provider.
Incorrect choices:
a. This choice is incorrect. Applying heat to an already warm and swollen area may exacerbate inflammation and should be avoided.
b. This choice is incorrect. While elevation and rest can be beneficial for certain foot conditions, they may not be sufficient for addressing infection or inflammation.
c. This choice is incorrect. Massaging the area may further irritate the inflamed tissues and is not recommended without proper assessment and guidance from a healthcare provider.
The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?
Explanation
An area of skin that is cracked and bleeding indicates a breakdown of the skin's integrity, which can lead to infection. Immediate intervention is needed to clean and protect the area.
Incorrect choices:
a. This choice is incorrect. A small callus may require intervention, but it does not necessarily require immediate attention unless it is causing discomfort or open sores.
b. This choice is incorrect. Slight discoloration of the toenails may be due to various factors and does not indicate an immediate need for intervention.
d. This choice is incorrect. Mild swelling of the ankle may require monitoring, but it does not necessarily indicate an immediate need for intervention unless it is accompanied by other concerning symptoms.
The nurse is assessing a client's foot for signs of poor circulation. Which finding is indicative of poor circulation?
Explanation
Absence of hair on the toes and feet is indicative of poor circulation, as reduced blood flow to the extremities can lead to decreased hair growth.
Incorrect choices:
a. This choice is incorrect. Capillary refill less than 2 seconds is a normal finding and indicates good circulation.
b. This choice is incorrect. Warm and pink skin temperature is a normal finding and indicates adequate blood flow.
d. This choice is incorrect. The presence of superficial veins does not necessarily indicate poor circulation and can vary among individuals.
The nurse is assessing a client's feet for neuropathy. Which finding is consistent with peripheral neuropathy?
Explanation
Loss of sensation to touch in the feet is consistent with peripheral neuropathy, a common complication of diabetes that affects nerve function.
Incorrect choices:
a. This choice is incorrect. Rapid capillary refill indicates good blood flow and is not directly related to neuropathy.
c. This choice is incorrect. The presence of abundant hair does not directly indicate neuropathy; rather, absence of hair may be more indicative of poor circulation.
d. This choice is incorrect. Normal skin temperature does not necessarily indicate the presence or absence of neuropathy.
The nurse is assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?
Explanation
Redness and warmth on the sole of the foot may indicate inflammation or infection and require further assessment and intervention to prevent complications.
Incorrect choices:
a. This choice is incorrect. Mild dryness of the skin may require moisturizing but does not necessarily require immediate intervention.
b. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care and monitoring.
d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an immediate need for intervention.
During a foot assessment, the nurse observes an area of skin that is discolored, darkened, and slightly raised. The client reports that the area has been present for several weeks. What action should the nurse take?
Explanation
An area of discolored, darkened, and slightly raised skin that has been present for several weeks may indicate a potential skin condition or complication that requires further evaluation and treatment by a healthcare provider.
Incorrect choices:
a. This choice is incorrect. Applying an antibiotic ointment without a proper diagnosis may not address the underlying issue.
b. This choice is incorrect. The described findings are not consistent with a normal skin variation and require further assessment.
c. This choice is incorrect. While keeping the area dry and clean is important, it may not be sufficient to address the underlying issue.
The nurse is assessing a client's feet for signs of infection as part of diabetic foot care. Which finding suggests a possible infection?
Explanation
Pain and tenderness at the base of the toes may suggest an infection, and further assessment and intervention are needed to prevent complications.
Incorrect choices:
a. This choice is incorrect. Calluses are areas of thickened skin and do not necessarily indicate an infection.
b. This choice is incorrect. Dry and flaky skin may require moisturizing but does not necessarily indicate an infection.
d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an infection.
The nurse is assessing a client's feet for potential complications of diabetes. Which finding requires immediate intervention?
Explanation
A small, non-painful ulcer on the sole of the foot may indicate tissue breakdown and the potential for infection, requiring immediate intervention.
Incorrect choices:
a. This choice is incorrect. Dry skin with small cracks may require moisturizing and care, but it does not necessarily require immediate intervention.
b. This choice is incorrect. A callus on the side of the foot may require attention, but it does not necessarily require immediate intervention unless it is causing discomfort or open sores.
d. This choice is incorrect. Swelling and redness of the toes may indicate various issues and may not necessarily require immediate intervention unless accompanied by other concerning symptoms.
The nurse is providing education to a client with diabetes about nail care. Which statement by the client indicates a need for further teaching?
Explanation
Applying petroleum jelly between the toes can create a moist environment and increase the risk of fungal infections. It is important to keep the feet clean and dry to prevent complications.
Incorrect choices:
a. This choice is correct. Trimming toenails straight across and avoiding cutting the corners is the correct technique to prevent ingrown nails and potential complications.
b. This choice is correct. Using a magnifying glass can help improve visibility and accuracy while trimming nails, reducing the risk of injury.
d. This choice is correct. Wearing closed-toe shoes that fit well is important to protect the feet from potential injuries and complications.
The nurse is teaching a client with diabetes about foot care. Which statement by the client indicates a need for further education?
Explanation
Popping a blister with a sterile needle increases the risk of infection and complications. It is important to avoid popping blisters and to properly care for them to prevent infection.
Incorrect choices:
a. This choice is correct. Daily foot inspection, especially between the toes, is an important part of foot care for clients with diabetes to detect any abnormalities or issues.
c. This choice is correct. Washing the feet daily with mild soap and warm water helps maintain hygiene and prevent infections.
d. This choice is correct. Gently patting the feet dry, especially between the toes, helps prevent moisture buildup and reduces the risk of fungal infections.
The nurse is educating a client with diabetes about proper footwear. Which statement by the client indicates understanding of the teaching?
Explanation
Proper footwear for clients with diabetes includes shoes with cushioning, good arch support, and adequate room for the toes to prevent pressure points and potential complications.
Incorrect choices:
a. This choice is correct. Shoes with pointed toes can compress the toes and increase the risk of pressure points, ulcers, and other foot issues.
b. This choice is correct. Open-toe shoes and sandals do not provide adequate protection for the feet and may increase the risk of injuries.
c. This choice is correct. Tight shoes can lead to pressure points, reduced circulation, and potential foot complications. Comfort and fit are more important than appearance.
The nurse is providing education to a client with diabetes about moisturizing the feet. Which statement by the client indicates understanding of proper moisturizing techniques?
Explanation
Applying lotion between the toes can create a moist environment and increase the risk of fungal infections. It is important to keep the feet clean and dry, especially between the toes.
Incorrect choices:
b. This choice is correct. Soaking the feet in hot water can lead to excessive dryness and skin damage. Warm water is preferable for foot soaking.
c. This choice is correct. Alcohol-based products can strip the skin of natural oils and cause dryness. Mild soap and water are recommended for cleaning the feet.
d. This choice is correct. Vigorous rubbing motions during lotion application can damage the skin and lead to irritation. Gentle massaging is preferred.
The nurse is teaching a client with diabetes about the importance of avoiding tight socks or stockings. Which information should the nurse include in the teaching?
Explanation
Tight socks and stockings can constrict blood flow and lead to pressure points, reduced circulation, and potential foot complications.
Incorrect choices:
a. This choice is correct. Tight socks and stockings can actually impede circulation to the feet, increasing the risk of complications.
b. This choice is correct. While tight socks and stockings may temporarily prevent swelling, they can lead to more significant issues such as pressure ulcers and compromised circulation.
d. This choice is correct. Tight socks and stockings can force the feet into unnatural positions, increasing the risk of pressure points and deformities. Proper foot alignment is achieved through well-fitting footwear with good arch support.
The nurse is teaching a client with diabetes about preventing injuries to the feet. Which statement by the client indicates a need for further education?
Explanation
Using a heating pad to warm the feet can increase the risk of burns and damage to the skin. It is recommended to wear warm socks and appropriate footwear to keep the feet warm.
Incorrect choices:
a. This choice is correct. Inspecting shoes for foreign objects or rough areas before wearing them helps prevent injuries and irritation to the feet.
b. This choice is correct. Walking barefoot, even indoors, increases the risk of injuries, cuts, and infections. Proper footwear should be worn at all times.
c. This choice is correct. Trimming toenails straight across helps prevent ingrown nails, reducing the risk of complications.
The nurse is educating a client with diabetes about preventing injuries to the feet. Which activity should the client avoid?
Explanation
Walking barefoot on the beach exposes the feet to potential injuries from sharp objects, hot sand, and direct sunlight. Proper footwear should be worn to prevent such injuries.
Incorrect choices:
a. This choice is correct. Checking bathwater temperature with the elbow before immersing the feet helps prevent burns and injuries from hot water.
c. This choice is correct. Using adhesive tape to secure dressings on the feet can help protect wounds and prevent infections.
d. This choice is correct. Applying lotion to the feet before bedtime helps prevent dryness and maintain skin integrity.
The nurse is discussing strategies to prevent foot injuries with a client who has diabetes. Which statement by the client indicates a need for further education?
Explanation
Avoiding leg crossing does not directly relate to preventing foot injuries. It is important to focus on wearing proper footwear, maintaining foot hygiene, and checking for signs of injury.
Incorrect choices:
b. This choice is correct. Wearing clean, dry socks and changing them daily helps prevent moisture buildup and reduces the risk of infections.
c. This choice is correct. Using a pumice stone to gently remove calluses helps prevent excessive skin thickening and pressure points.
d. This choice is correct. Using a mirror to inspect the bottom of the feet helps detect any changes or abnormalities that may not be visible directly.
The nurse is teaching a client with diabetes about preventing foot injuries. Which activity should the client avoid?
Explanation
Wearing shoes with pointed toes can compress the toes and increase the risk of pressure points, ulcers, and other foot issues.
Incorrect choices:
b. This choice is correct. Keeping the feet elevated for extended periods can reduce swelling and improve circulation.
c. This choice is correct. Using a foot roller to massage the soles of the feet can promote circulation and reduce tension.
d. This choice is correct. Applying moisturizer between the toes is not recommended as it can create a moist environment and increase the risk of fungal infections.
The nurse is providing education to a client with diabetes about preventing foot injuries. Which action should the client prioritize?
Explanation
Wearing closed-toe shoes with proper arch support helps protect the feet from injuries, pressure points, and potential complications.
Incorrect choices:
a. This choice is correct. Applying a heating pad to the feet before bedtime can increase the risk of burns and skin damage.
b. This choice is correct. Loose-fitting socks and shoes can lead to friction and blisters, increasing the risk of injuries.
d. This choice is correct. Soaking the feet in hot water can lead to dryness and potential skin damage. Warm water is preferable for foot soaking.
The nurse is providing education to a client with a diabetic foot ulcer about wound care and infection prevention. Which statement by the client indicates effective understanding of wound management?
Explanation
Regular daily inspections of the feet for signs of infection are crucial in preventing complications related to diabetic foot ulcers. Increased redness, swelling, warmth, and foul odor may indicate infection and should be reported to a healthcare provider.
Incorrect choices:
a. This choice is incorrect. Using hot water can damage the delicate tissue of the ulcer and increase the risk of infection. Lukewarm water is recommended for cleansing.
b. This choice is incorrect. Keeping the ulcer uncovered can expose it to dirt, bacteria, and the risk of further injury. Proper dressing and wound coverage are essential for wound healing.
d. This choice is incorrect. Soaking the feet in Epsom salt water is not recommended for diabetic foot ulcers, as it can cause drying and may delay wound healing.
The nurse is instructing a client with a diabetic foot ulcer on the importance of controlling blood sugar levels. Which statement by the client indicates effective management of foot ulcers?
Explanation
Consistently following the healthcare provider's instructions for insulin and medication management is essential in controlling blood sugar levels and promoting wound healing in clients with diabetic foot ulcers.
Incorrect choices:
a. This choice is incorrect. Taking diabetes medication inconsistently can lead to fluctuations in blood sugar levels and hinder wound healing.
b. This choice is incorrect. Checking blood sugar levels once a week is not sufficient for effective diabetes management, especially for individuals with diabetic foot ulcers.
d. This choice is incorrect. Skipping meals can lead to unstable blood sugar levels and negatively impact wound healing and overall health.
The nurse is teaching a client with a diabetic foot ulcer about footwear. Which statement by the client indicates a need for further education?
Explanation
Tight-fitting socks can restrict blood flow and increase the risk of friction and pressure on the feet, leading to complications. Loose-fitting socks made of moisture-wicking material are recommended.
Incorrect choices:
a. This choice is correct. Choosing shoes with a wide toe box helps prevent pressure on the toes and reduces the risk of developing foot ulcers.
b. This choice is correct. Checking the inside of shoes for objects or rough spots is important to prevent injuries and friction that can lead to foot ulcers.
d. This choice is correct. Wearing sandals or open-toed shoes increases the risk of injury and exposure to debris, making closed-toe shoes a safer choice for foot protection.
The nurse is educating a client with a diabetic foot ulcer about proper wound dressing. Which statement by the client indicates understanding of wound management?
Explanation
Cleaning the ulcer with an antiseptic solution before applying the dressing helps prevent infection and promotes a healthy wound healing environment.
Incorrect choices:
a. This choice is incorrect. Applying petroleum jelly to the ulcer can trap moisture and hinder wound healing.
b. This choice is incorrect. Using adhesive tape directly on the wound can disrupt the wound bed and hinder healing.
c. This choice is incorrect. Changing the dressing every other day may be too frequent and can disrupt the wound healing process. Dressing change frequency should be determined by the healthcare provider based on the wound's condition.
The nurse is providing education to a client with a diabetic foot ulcer about the importance of staying hydrated. Which statement by the client indicates effective understanding of hydration?
Explanation
Adequate hydration is important for overall health and wound healing. Drinking plenty of water helps improve blood circulation and supports the body's healing processes.
Incorrect choices:
a. This choice is incorrect. Limiting fluid intake to prevent frequent urination can lead to dehydration and hinder wound healing.
c. This choice is incorrect. Consuming sugary beverages can negatively impact blood sugar levels and overall health, potentially hindering wound healing.
d. This choice is incorrect. Avoiding fluids before bedtime can increase the risk of dehydration and may not have a significant impact on nighttime urination. Staying hydrated is more important for wound healing.
The nurse is educating a client with diabetes about proper foot care. Which statement by the client indicates understanding of diabetic foot care?
Explanation
Daily foot inspections are crucial for detecting any cuts, blisters, sores, or changes in the skin. Early detection and prompt treatment of any foot issues can prevent complications.
Incorrect choices:
a. This choice is incorrect. Soaking feet in hot water can lead to dryness and skin damage, increasing the risk of foot complications.
c. This choice is incorrect. Trimming toenails with pointed scissors can lead to injuries and cuts. Using proper nail clippers and trimming straight across is recommended.
d. This choice is incorrect. Using adhesive tape directly on wounds can disrupt the wound healing process and increase the risk of infection.
The nurse is discussing proper footwear with a client who has diabetes. Which statement by the client indicates a need for further education?
Explanation
New shoes should be gradually broken in to prevent friction and blisters. Wearing new shoes for long periods of time can lead to discomfort and foot injuries.
Incorrect choices:
a. This choice is correct. Choosing shoes with a wide toe box helps prevent pressure on the toes and reduces the risk of developing foot ulcers.
c. This choice is correct. Shaking out shoes before putting them on helps remove any debris that could cause discomfort or injury to the feet.
d. This choice is correct. Wearing moisture-wicking socks helps keep the feet dry and reduces the risk of moisture-related skin issues.
The nurse is teaching a client with diabetes about proper toenail care. Which statement by the client indicates effective understanding of toenail care?
Explanation
Cutting toenails straight across and avoiding cutting the corners helps prevent ingrown toenails and reduces the risk of injury and infection.
Incorrect choices:
a. This choice is incorrect. Cutting toenails at an angle can lead to ingrown toenails and increase the risk of injury.
b. This choice is incorrect. Filing toenails in a rounded shape can create sharp edges and increase the risk of ingrown toenails.
d. This choice is incorrect. Soaking feet in warm water before trimming toenails can lead to excessive moisture and increase the risk of infection.
The nurse is providing education to a client with diabetes about moisturizing the feet. Which statement by the client indicates effective understanding of foot moisturizing?
Explanation
Applying moisturizer to the tops and bottoms of the feet helps prevent dryness and cracking. However, moisturizer should be avoided between the toes to prevent excess moisture buildup and the risk of fungal infections.
Incorrect choices:
a. This choice is incorrect. Applying moisturizer between the toes can lead to excess moisture and increase the risk of fungal infections.
b. This choice is incorrect. Petroleum jelly may not be the best choice for preventing calluses, and it should not be used between the toes.
c. This choice is incorrect. Moisturizers with fragrances and alcohol can dry out the skin and cause irritation, which is not recommended for individuals with diabetes.
The nurse is educating a client with diabetes about the importance of proper blood sugar control for foot health. Which statement by the client indicates understanding of the relationship between blood sugar control and foot care?
Explanation
High blood sugar levels can weaken the immune system and increase the risk of infections, including fungal infections, in the feet.
Incorrect choices:
b. This choice is incorrect. Low blood sugar levels do not directly lead to calluses and corns on the feet. Proper footwear and foot care are more relevant to preventing calluses and corns.
c. This choice is incorrect. Blood sugar control has a significant impact on foot health. Poorly controlled blood sugar levels can lead to nerve damage, poor circulation, and delayed wound healing, all of which affect foot health.
d. This choice is incorrect. Checking blood sugar levels only when experiencing foot pain may not provide timely information about blood sugar control and foot health. Regular monitoring of blood sugar levels is important for overall diabetes management.
The nurse is educating a client with diabetes about foot care. Which statement by the client indicates a need for further education?
Explanation
Tight-fitting shoes can lead to friction, pressure, and poor circulation, increasing the risk of foot ulcers and complications for individuals with diabetes. Proper-fitting shoes are essential for foot care.
Incorrect choices:
a. This choice is correct. Washing feet daily using warm water and mild soap helps maintain hygiene and prevent infections.
b. This choice is correct. Applying lotion between the toes should be avoided to prevent moisture buildup, which can lead to fungal infections.
c. This choice is correct. Trimming toenails straight across and filing sharp edges helps prevent ingrown toenails and injuries.
The nurse is instructing a client with diabetes on how to perform a self-foot assessment. Which statement by the client indicates effective understanding of the assessment technique?
Explanation
Using a mirror to inspect the soles of the feet allows for a thorough assessment of hard-to-see areas and early detection of any abnormalities.
Incorrect choices:
b. This choice is incorrect. Regular daily foot assessments are recommended to detect any issues early and prevent complications.
c. This choice is incorrect. Performing the foot assessment when feet are most swollen may make it more difficult to identify abnormalities.
d. This choice is incorrect. Pressing feet against a hard surface is not a standard technique for assessing foot health.
The nurse is teaching a client with diabetes about the importance of proper footwear. Which statement by the client indicates effective understanding of footwear choices?
Explanation
Shoes with closed-toes and a wide toe box provide protection, support, and ample space for toes, reducing the risk of pressure, friction, and ulcers for individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. Tight-fitting shoes can lead to pressure and friction, increasing the risk of foot ulcers and complications.
b. This choice is incorrect. Wearing socks is recommended to prevent friction and moisture buildup, reducing the risk of fungal infections.
d. This choice is incorrect. High-heeled shoes can alter foot mechanics, increase pressure, and negatively impact blood circulation, posing risks for individuals with diabetes.
The nurse is educating a client with diabetes about nail care. Which statement by the client indicates effective understanding of nail care practices?
Explanation
Trimming toenails straight across and slightly longer at the corners helps prevent ingrown toenails and potential injuries for individuals with diabetes.
Incorrect choices:
a. This choice is incorrect. Using pointed objects to clean under toenails can lead to injury and damage to the nail bed.
c. This choice is incorrect. Soaking feet in hot water can increase the risk of skin breakdown and should be avoided.
d. This choice is incorrect. Cutting toenails in a curved shape can increase the risk of ingrown toenails and complications.
The nurse is discussing proper foot hygiene with a client who has diabetes. Which statement by the client indicates a need for further education?
Explanation
Applying lotion between the toes can lead to moisture buildup, creating an environment favorable for fungal infections. It is recommended to avoid applying lotion between the toes.
Incorrect choices:
a. This choice is correct. Walking barefoot increases the risk of injury and exposure to potential hazards, making proper footwear essential.
b. This choice is correct. Washing feet daily using mild soap and warm water helps maintain hygiene and prevent infections.
c. This choice is correct. Gently patting feet dry, especially between the toes, helps prevent moisture buildup and reduces the risk of fungal infections.
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