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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A small, non-painful ulcer on the sole of the foot may indicate tissue breakdown and the potential for infection, requiring immediate intervention.
Incorrect choices:
a. This choice is incorrect. Dry skin with small cracks may require moisturizing and care, but it does not necessarily require immediate intervention.
b. This choice is incorrect. A callus on the side of the foot may require attention, but it does not necessarily require immediate intervention unless it is causing discomfort or open sores.
d. This choice is incorrect. Swelling and redness of the toes may indicate various issues and may not necessarily require immediate intervention unless accompanied by other concerning symptoms.
Correct Answer is D
Explanation
Applying moisturizer to the tops and bottoms of the feet helps prevent dryness and cracking. However, moisturizer should be avoided between the toes to prevent excess moisture buildup and the risk of fungal infections.
Incorrect choices:
a. This choice is incorrect. Applying moisturizer between the toes can lead to excess moisture and increase the risk of fungal infections.
b. This choice is incorrect. Petroleum jelly may not be the best choice for preventing calluses, and it should not be used between the toes.
c. This choice is incorrect. Moisturizers with fragrances and alcohol can dry out the skin and cause irritation, which is not recommended for individuals with diabetes.
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