The nurse is caring for a client with diabetes. What should the nurse include as foot care for this client?
1. Cut toenails in a rounded shape and file.
2. Dry toes thoroughly.
3. Wash feet with water at a temperature of 90°F to 98.6°F.
4. Inspect feet thoroughly once a week.
Correct Answer: 2
Rationale 1: Toenails should be cut straight across, and nurses do not cut diabetic clients' toenails. Only a podiatrist should handle this task.
Rationale 2: Toes should be dried thoroughly after being washed to impede fungal growth and prevent maceration.
Rationale 3: The water to wash the feet should be 100°F to 110°F.
Rationale 4: Feet should be inspected each day, not once a week, for early detection of any problems.
You might also like to view...
For cytomegalovirus (CMV) retinitis, the nurse anticipates the physician will prescribe which type of medication?
a. Antifungal b. Antiretroviral c. Antibiotic d. Antiviral
Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?
A. History of bright flash of light followed by significantly blurred vision B. History of transient and painless monocular loss of vision C. History of monocular severe eye pain, blurred vision, and ciliary flush D. All of the above
Which statement should be included during the educational preparation of a patient who will undergo ECT (electroconvulsive therapy) in 1 week?
a. "The induced seizure will last approximately 2 minutes and will be very mild.". b. "We encourage a family member to stay with the patient during the treatment.". c. "I'd be happy to arrange for you to speak with a patient who has experienced ECT.". d. "There may be a small amount of permanent memory loss, but it is usually related to the time of the seizure itself.".
A physical therapist (PT) places a gait belt on a client and is assisting them with ambulation from the bed to the chair. As they get up out of the bed, they report being dizzy and begin to fall. The PT carefully allows them to fall back to the bed and notifies the primary nurse. Which written documentation should the nurse put in the client's record?
A) Client experienced orthostatic hypotension when getting out of bed. B) PT reported client complained of dizziness when getting out of bed, and gait belt was used to allow client to fall back onto the bed. C) PT notified the primary nurse that the client could not ambulate at this time because of dizziness. D) Client had difficulty ambulating from the bed to the chair when accompanied by the PT, variance report completed.