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
... [Show More] 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.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Safety and Infection Control
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
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.
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc.
hyperglycemic (up to 180 mg/dL), or hypoglycemic (less than 70 mg/dL). Advising the patient the method of
testing is not reliable is not entirely correct and does not provide needed information to the patient. Telling the
patient he is correct does not provide adequate information. It is inappropriate for the nurse to make such a
suggestion about the method of testing to be utilized to the patient.
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. 5. Deliver compassionate, patient-centered, evidence-based care that
respects patient and family preferences
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health
assessments and interventions
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 5. Discuss best practices of self-care management of DM related to diet planning, sick day
management, and exercise.
MNL Learning Outcome: 10.5.3. Examine the diagnosis, monitoring, treatment options, and complications for
diabetes.
Page Number: 509
Question 8
Type: MCSA
A patient with type 1 diabetes mellitus who had one episode of vomiting in the past 2 hours asks if the routine
insulin injection should be taken. What action by the nurse is best at this time?
1. Contact the physician [Show Less]