While assisting with the admission of a new resident to the long-term care facility, the nurse notes the patient's feet are moist with dry skin on the heels. The toenails are long and brittle. Which of the following actions should the nurse take first?
a. Soak feet in warm water.
b. File the nails.
c. Apply lotion to the feet.
d. Dry feet well.
ANS: A
Nails in an older individual are often hard and brittle. Soaking in warm water helps soften nails to ease in their trimming. This would be done first as getting the feet wet would negate C and D. Filing the nails with an emery board is safer than cutting the nails. The patient should be referred to a podiatrist for treatment should there be any concerns—the description noted does not indicate a specific concern requiring podiatry care.
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