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 B
Explanation
The client's statement that wearing tight-fitting shoes is important for preventing friction is incorrect. Tight-fitting shoes can actually increase the risk of friction and pressure, leading to foot problems in individuals with diabetes. Properly fitting shoes with cushioning and support are recommended to prevent foot complications.
Incorrect choices:
a. This choice is incorrect. Daily foot inspection is a crucial aspect of diabetic foot care to detect any cuts, blisters, or changes in the skin.
c. This choice is incorrect. Washing the feet daily with mild soap and warm water is an important hygiene practice to prevent infection.
d. This choice is incorrect. Moisturizing the feet with lotion, while avoiding between the toes, helps prevent dry skin and cracking, which can lead to foot problems.
Correct Answer is C
Explanation
Pain and tenderness at the base of the toes may suggest an infection, and further assessment and intervention are needed to prevent complications.
Incorrect choices:
a. This choice is incorrect. Calluses are areas of thickened skin and do not necessarily indicate an infection.
b. This choice is incorrect. Dry and flaky skin may require moisturizing but does not necessarily indicate an infection.
d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an infection.
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