Answer to Question 1
Correct Answer: 2
Rationale 1: For nutritional support to promote healthy tissue, clients should consume more than 40 of their meals.
Rationale 2: Keeping linens dry and wrinkle-free will prevent pressure areas.
Rationale 3: Fluids should not be restricted unless some other physical condition dictates. The skin should be kept hydrated.
Rationale 4: To relieve pressure, the client should be turned every 2 hours, not every 3.
Answer to Question 2
Correct Answer: 2
Rationale 1: Toenails should be cut straight across, and nurses do not cut diabetic clients' toenails. Only a podiatrist should handle this task.
Rationale 2: Toes should be dried thoroughly after being washed to impede fungal growth and prevent maceration.
Rationale 3: The water to wash the feet should be 100F to 110F.
Rationale 4: Feet should be inspected each day, not once a week, for early detection of any problems.