The nurse is caring for a patient who is reporting severe foot ...

[mwit1967]

The nurse is caring for a patient who is reporting severe foot pain due to corns. The patient has been using oval corn pads to self-treat the corns, but they seem to be getting worse. Which information will the nurse share with the patient?
 
  a. Corn pads are an adequate treatment and should be continued.
  b. The patient should avoid soaking the feet before using a pumice stone.
  c. Depending on severity, surgery may be needed to remove the corns.
  d. Tighter shoes would help to compress the corns and make them smaller.

Question 2

Which action by the nurse will be the most important for preventing skin impairment in a mobile patient with local nerve damage?
 
  a. Insert an indwelling urinary catheter.
  b. Limit caloric and protein intake.
  c. Turn the patient every 2 hours.
  d. Assess for pain during a bath.

[dominiqueenicolee]

Answer to Question 1

ANS: C
Surgical removal is necessary, depending on severity of pain and the size of the corn. Oval corn pads should be avoided because they increase pressure on the toes and reduce circulation. Warm water soaks soften corns before gentle rubbing with a callus file or pumice stone. Wider and softer shoes, especially shoes with a wider toe box, are helpful.

Answer to Question 2

ANS: D
During a bath, assess the status of sensory nerve function by checking for touch, pain, heat, cold, and pressure. When restricted from moving freely, dependent body parts are exposed to pressure that reduces circulation. However, this patient is mobile and therefore is able to change positions. Limiting caloric and protein intake may result in impaired or delayed wound healing. A mobile patient can use bathroom facilities or a urinal and does not need a urinary catheter.

[mwit1967]

Excellent

[Joy Chen]

Gracias!