The nurse is providing education to a client with a diabetic foot ulcer about wound care and infection prevention. Which statement by the client indicates effective understanding of wound management?

"I will use hot water to cleanse the ulcer and remove any debris."

"I will keep the ulcer uncovered to allow it to dry out."

"I will inspect my feet daily for signs of infection, such as increased redness, swelling, and warmth."

"I will soak my feet in Epsom salt water every day to promote healing."

Answer and Explanation

The Correct Answer is C

Regular daily inspections of the feet for signs of infection are crucial in preventing complications related to diabetic foot ulcers. Increased redness, swelling, warmth, and foul odor may indicate infection and should be reported to a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Using hot water can damage the delicate tissue of the ulcer and increase the risk of infection. Lukewarm water is recommended for cleansing.

b. This choice is incorrect. Keeping the ulcer uncovered can expose it to dirt, bacteria, and the risk of further injury. Proper dressing and wound coverage are essential for wound healing.

d. This choice is incorrect. Soaking the feet in Epsom salt water is not recommended for diabetic foot ulcers, as it can cause drying and may delay wound healing.

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Correct Answer is D

Explanation

A red, warm, and swollen area on the foot may indicate an infection or inflammation, which requires further evaluation and treatment by a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Applying heat to an already warm and swollen area may exacerbate inflammation and should be avoided.

b. This choice is incorrect. While elevation and rest can be beneficial for certain foot conditions, they may not be sufficient for addressing infection or inflammation.

c. This choice is incorrect. Massaging the area may further irritate the inflamed tissues and is not recommended without proper assessment and guidance from a healthcare provider.

A. "Regular foot inspections can help you choose fashionable and comfortable footwear." B. "Inspecting your feet daily can help you identify potential problems and prevent complications." C. "Foot inspections are only necessary if you develop an infection or injury." D. "You should inspect your feet weekly to ensure proper hygiene."

Correct Answer is B

Explanation

Regular foot inspections, done on a daily basis, help individuals with diabetes identify early signs of problems such as cuts, blisters, or changes in skin integrity. This enables timely intervention to prevent further complications.

Incorrect choices:

a. This choice is incorrect. While choosing comfortable footwear is important, the primary purpose of daily foot inspections is to identify and prevent complications, not fashion.

c. This choice is incorrect. Foot inspections should be performed routinely to prevent complications, rather than waiting for an infection or injury to develop.

d. This choice is incorrect. Weekly foot inspections may not provide timely detection of potential problems, as complications can arise rapidly in individuals with diabetes.

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The nurse is providing education to a client with a diabetic foot ulcer about wound care and infection prevention. Which statement by the client indicates effective understanding of wound management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a foot assessment, the nurse notices a red, warm, and swollen area on the client's foot. Which action should the nurse take next?

Correct Answer is D

Explanation

The nurse is discussing diabetic foot care with a client. Which statement accurately reflects the importance of regular foot inspections?

Correct Answer is B

Explanation

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