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

Closed-toe shoes with cushioning and support are the most suitable footwear for a client with diabetes. These shoes provide protection, reduce friction, and help prevent foot complications.

Incorrect choices:

a. This choice is incorrect. High-heeled shoes can increase pressure on certain areas of the feet and may lead to discomfort and foot problems for individuals with diabetes.

b. This choice is incorrect. Tight-fitting shoes can lead to friction, pressure, and potential foot injuries in individuals with diabetes.

c. This choice is incorrect. Open-toed sandals do not provide adequate protection and support for the feet, which is essential for preventing foot complications.

A. Assessing the toenail color and applying nail polish. B. Inspecting the skin for any cuts, blisters, or abnormalities. C. Massaging the feet to improve circulation. D. Applying lotion between the toes to prevent dryness.

Correct Answer is B

Explanation

Inspecting the skin for cuts, blisters, sores, and other abnormalities is a priority during a foot examination for a client with diabetes. Early detection of these issues can help prevent complications such as infections and ulcers.

Incorrect choices:

a. This choice is incorrect. While assessing toenail color is important, it is not the priority during a foot examination. Applying nail polish should be avoided due to the risk of hiding potential issues.

c. This choice is incorrect. Massaging the feet can be beneficial, but it is not the priority during a foot examination. The focus is on assessing for potential problems.

d. This choice is incorrect. While applying lotion to prevent dryness is important, lotion should not be applied between the toes, as it can create a moist environment that promotes fungal growth.

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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

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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