LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank WITH COMPLETE ANSWERS 2023|2024 UPDATE A+ VERIFIED

A patient with diabetes mellitus and poor circulation has thick and ingrown toenails. What should the nurse instruct the patient to do? 1. Soak feet in Epsom salts daily. 2. Use a clean sharp razor blade to trim nails. 3. Make an appointment with a podiatrist. 4. Cut toenails immediately prior to bathing. Correct Answer: 3 Rationale 1: There is no indication for this patient to soak feet daily in Epsom salts. Rationale 2: The use of a clean sharp razor could cause an injury. Rationale 3: The toenails of the patient with diabetes require close care. If the nails are thick or ingrown, they require the attention of a podiatrist. Rationale 4: Cutting the nails before a bath would be difficult because the nails are thick and ingrown. Global Rationale: The toenails of the patient with diabetes require close care. If the nails are thick or ingrown, they require the attention of a podiatrist. Cutting the nails before a bath would be difficult because the nails are thick and ingrown. There is no indication of a need for soaking feet daily in Epsom salts. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions Nursing/Integrated Concepts: Nursing Process: Implementation LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank Copyright 2015 by Pearson Education, Inc. Learning Outcome: 5. Discuss best practices of self-care management of DM related to diet planning, sick day management, and exercise. MNL Learning Outcome: 10.5.4. Utilize the nursing process in care of client. Page Number: 530 Question 2 Type: MCSA A patient with diabetes asks what can be done to prevent the development of corns on the feet. How should the nurse respond to this patient? 1. “Make sure that you select shoes that are appropriately fitted.” 2. “Use corn pads to gradually remove the growths.” 3. “Corns are best treated by shaving them off.” 4. “A mild abrasive soap can be used to scrub the area to remove them.” Correct Answer: 1 Rationale 1: Corns can be prevented by wearing correctly fitting shoes. Rationale 2: Corn pads are not an option for the diabetic patient. Rationale 3: Shaving treatments to remove the corns and are not an option for the diabetic patient. Rationale 4: Scrubs to remove the corns are not option for the diabetic patient. Global Rationale: Corns can be prevented by wearing correctly fitting shoes. Corn pads, scrubs, and shaving treatments to remove the corns and are not options for the diabetic patient