NUR 121 LIPPINCOTT CH 34 ACTIVITY QUESTIONS WITH WELL EXPLAINED ANSWERS 2025 (A+ GRADED)

NUR 121 LIPPINCOTT CH 34 ACTIVITY QUESTIONS WITH WELL EXPLAINED ANSWERS 2025 (A+ GRADED) An older adult has been admitted to a long-term care facility after unsuccessful attempts to continue living independently. The nurse's admission assessment reveals the presence of long, ingrown toenails that appear to contribute to the resident's unsteady gait and decreased mobility. How should the nurse follow up this assessment finding? A. Cut the client's toenails using a sharp blade rather than regular nail clippers. B. Have the client tested for type II diabetes. C. Arrange for the client to be seen by a podiatrist. D. Soak the client's feet in Epsom salts and tri them short. - CORRECT ANS-C. Arrange for the client to be seen by a podiatrist. Older adult clients' problematic toenails may warrant referral to podiatry. It may risk complications to cut them very short or with a sharp blade. Clients with diabetes are particularly at risk for foot complications, but the presence of long toenails does not suggest the presence of diabetes. A nurse applies padded boots to maintain the unconscious client's foot in dorsiflexion. The nurse is protecting the client from what complication? A. Decubitus ulcers. B. Muscle spasms. C. Foot drop. D. Muscle atrophy - CORRECT ANS-C. Foot drop. A footboard or boots should be applied to maintain dorsiflexion and tendon flexibility and prevent foot drop, which is a contracture in which the foot is fixed in plantar flexion. The nurse's action does not prevent ulcers, spasms or muscle atrophy. Continues...