The nurse is educating a client with a diabetic foot ulcer about proper wound dressing. Which statement by the client indicates understanding of wound management?

"I will apply petroleum jelly to the ulcer before dressing it."

"I will use adhesive tape directly on the wound to secure the dressing."

"I will change the dressing every other day to allow the wound to breathe."

"I will clean the ulcer with an antiseptic solution before applying the dressing."

Answer and Explanation

The Correct Answer is D

Cleaning the ulcer with an antiseptic solution before applying the dressing helps prevent infection and promotes a healthy wound healing environment.

Incorrect choices:

a. This choice is incorrect. Applying petroleum jelly to the ulcer can trap moisture and hinder wound healing.

b. This choice is incorrect. Using adhesive tape directly on the wound can disrupt the wound bed and hinder healing.

c. This choice is incorrect. Changing the dressing every other day may be too frequent and can disrupt the wound healing process. Dressing change frequency should be determined by the healthcare provider based on the wound's condition.

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Correct Answer is D

Explanation

Proper footwear for clients with diabetes includes shoes with cushioning, good arch support, and adequate room for the toes to prevent pressure points and potential complications.

Incorrect choices:

a. This choice is correct. Shoes with pointed toes can compress the toes and increase the risk of pressure points, ulcers, and other foot issues.

b. This choice is correct. Open-toe shoes and sandals do not provide adequate protection for the feet and may increase the risk of injuries.

c. This choice is correct. Tight shoes can lead to pressure points, reduced circulation, and potential foot complications. Comfort and fit are more important than appearance.

A. Apply an antibiotic ointment to the area. B. Document the findings as a normal skin variation. C. Instruct the client to keep the area dry and clean. D. Refer the client for further evaluation by a healthcare provider.

Correct Answer is D

Explanation

An area of discolored, darkened, and slightly raised skin that has been present for several weeks may indicate a potential skin condition or complication that requires further evaluation and treatment by a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Applying an antibiotic ointment without a proper diagnosis may not address the underlying issue.

b. This choice is incorrect. The described findings are not consistent with a normal skin variation and require further assessment.

c. This choice is incorrect. While keeping the area dry and clean is important, it may not be sufficient to address the underlying issue.

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The nurse is educating a client with a diabetic foot ulcer about proper wound dressing. Which statement by the client indicates understanding of wound management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client with diabetes about proper footwear. Which statement by the client indicates understanding of the teaching?

Correct Answer is D

Explanation

During a foot assessment, the nurse observes an area of skin that is discolored, darkened, and slightly raised. The client reports that the area has been present for several weeks. What action should the nurse take?

Correct Answer is D

Explanation

The nurse is discussing proper footwear with a client who has diabetes. Which statement by the client indicates a need for further education?

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