An older adult has been admitted to a long-term care facility ...

[WWatsford]

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) Have the client tested for type 2 diabetes.
  B) Arrange for the client to be seen by a podiatrist.
  C) Cut the client's toenails using a sharp blade rather than regular nail clippers.
  D) Soak the client's feet in Epson salts and trim them short.

Question 2

When caring for a client, the nurse notes the client's concentration level and teaches when the client is attentive. What variable that affects learning is the nurse considering?
 
  A) Willingness
  B) Concentration
  C) Learning readiness
  D) Learning needs

[aloop]

Answer to Question 1

B
Feedback:
Elderly 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.

Answer to Question 2

B
Feedback:
The client's attention and concentration affect the duration, delivery, and teaching methods employed. It is helpful to observe the client and implement health teaching when he or she is most alert and comfortable. This does not necessarily indicate an awareness of the client's willingness, learning needs, or learning readiness.

[WWatsford]

Thanks for the timely response, appreciate it

[jackie]

Gracias!