A client with diabetes mellitus is being taught about foot care by a nurse. What statement indicates understanding?

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Question 1 of 5

A client with diabetes mellitus is being taught about foot care by a nurse. What statement indicates understanding?

Correct Answer: B

Rationale: The correct answer is B. Wearing cotton socks is essential for clients with diabetes as it helps protect the feet and reduces the risk of skin breakdown. Choice A is incorrect because soaking feet in hot water can lead to burns or skin damage. Choice C is incorrect as clients with diabetes should cut their toenails straight across to prevent ingrown toenails. Choice D is incorrect as applying lotion between the toes can create a moist environment that may increase the risk of fungal infections.

Question 2 of 5

A nurse is preparing to perform a routine abdominal assessment. Which action should the nurse take first?

Correct Answer: B

Rationale: The correct answer is to auscultate bowel sounds. Auscultation should be performed before palpation during an abdominal assessment to avoid altering bowel sounds. Inspecting the abdomen is important but should follow auscultation. Percussion and palpation should be done after auscultation and inspection to ensure an accurate assessment.

Question 3 of 5

A nurse is teaching about food choices for a client on a low-sodium diet. What food should the nurse recommend?

Correct Answer: B

Rationale: In teaching about food choices for a client on a low-sodium diet, recommending fresh fruit (Option B) is crucial for several reasons. Fresh fruits are naturally low in sodium and are packed with essential nutrients like vitamins, minerals, and fiber, making them an ideal choice for individuals looking to reduce their sodium intake. They also provide a refreshing and healthy alternative to processed snacks that are often high in sodium and unhealthy additives. The other options are not suitable for a client on a low-sodium diet. Canned soup (Option A) is typically high in sodium to act as a preservative, making it unsuitable for individuals trying to reduce their sodium intake. Processed meats (Option C) are also known to be high in sodium content due to the curing and preserving process. Frozen meals (Option D) often contain high levels of sodium to enhance flavor and increase shelf life, making them a poor choice for someone on a low-sodium diet. From an educational standpoint, it's essential for nurses to understand the nutritional content of different food choices and how they can impact specific health conditions. By recommending fresh fruit over high-sodium alternatives, nurses can empower their clients to make healthier choices that support their dietary needs and overall well-being.

Question 4 of 5

A nurse is updating the plan of care for a client with limited mobility. What intervention should the nurse include to prevent skin breakdown?

Correct Answer: C

Rationale: The correct answer is C: 'Use a special mattress to reduce pressure on the skin.' This intervention is crucial in preventing skin breakdown in clients with limited mobility as it helps to reduce pressure on bony prominences. Repositioning every 4 hours (Choice A) is important but may not be sufficient to prevent skin breakdown entirely. Applying lotion every 2 hours (Choice B) may not address the root cause of skin breakdown related to pressure. Increasing fluid intake (Choice D) is beneficial for overall skin health but may not directly prevent skin breakdown caused by pressure points.

Question 5 of 5

A nurse is providing discharge teaching for a client with a prescription for home oxygen therapy. Which instruction should the nurse include?

Correct Answer: B

Rationale: The correct instruction for a client with home oxygen therapy is to keep oxygen tubing away from heat sources to prevent fires and other hazards. Option A is incorrect because adjusting the oxygen flow rate without healthcare provider guidance can be dangerous. Option C is incorrect as synthetic fabrics can generate static electricity, which is a fire hazard. Option D is incorrect as oxygen should be left on as prescribed unless advised otherwise.

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