Place the steps of providing foot care to a diabetic client in the appropriate order. Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Provide for privacy by pulling curtain or closing door to room.
Response 2. Fill washbasin with warm water and test temperature of water.
Response 3. File fingernails straight across and even with tops of toes. Use nail clippers to clip nails straight across, then shape with nail file.
Response 4. Assist client to sitting position. Help bedridden client to supine position with head of bed elevated. Place disposable bath mat on floor under client's feet, or place towel on mattress.
Response 5. Perform hand hygiene. Arrange equipment on over-bed table.
Response 6. Help client place feet in basin. Fill basin with warm water, and soak for 10 minutes.
Correct Answer: 5,1,4,2,6,3
The first step is to perform hand hygiene and arrange the equipment on the over-bed table. Easy access to equipment prevents delays. Hand hygiene is done before every procedure. Maintaining client privacy is the second step as it reduces client anxiety. The third step is to assist the client into a sitting position. Sitting facilitates immersing feet in the basin. The bath mat protects feet from exposure to soil or debris. Filling the washbasin with warm water and testing the temperature is the fourth step. This prevents accidental burns to the client's skin. Diabetic clients have peripheral neuropathy with decreased sensation. Helping the client place feet in the basin and soaking them for 10 minutes is the fifth step. Clients with muscular weakness or tremors may have difficulty positioning feet. Warm water softens nails and thickened epidermal cells. The last step is filing and clipping the nails. Filing and cutting straight across avoids skin overgrowth at the nail edges, which leads to ingrown toenails or infection. If nails become thick, a professional should provide nail care.
You might also like to view...
Light palpation is done on the abdomen in order to
A) initially assess bowel sounds. B) identify muscular resistance and tenderness. C) locate organs (spleen, liver, and kidneys). D) assess for tremors, sensation, and perception.
At midpoint during pregnancy, you review beginning signs of labor with a patient. One of the beginning signs of labor you would review is
A) a sudden gush of clear fluid from the vagina. B) excessive fatigue and headache. C) sharp, right-sided abdominal pain. D) an increased pulse rate and upper abdominal pain.
A patient with a lung disease takes prophylactic antibiotics and tries to stay indoors during the winter. Today the patient reports bleeding more than normal after a minor injury. How would the nurse evaluate this report?
1. The antibiotic may be interfering with clotting times. 2. The patient is not getting enough vitamin D from sunlight. 3. The patient may be ingesting more vitamin K–containing food. 4. The patient's lung disease has affected the production of platelets.
The nurse is caring for a patient with heart failure. Which assessment findings indicate the patient is currently experiencing class 2 heart failure?
1. Fatigue with physical activity 2. Palpitations with physical activity 3. No symptoms with physical activity 4. Dyspnea with physical activity 5. Angina at rest