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 A
Explanation
High blood sugar levels can weaken the immune system and increase the risk of infections, including fungal infections, in the feet.
Incorrect choices:
b. This choice is incorrect. Low blood sugar levels do not directly lead to calluses and corns on the feet. Proper footwear and foot care are more relevant to preventing calluses and corns.
c. This choice is incorrect. Blood sugar control has a significant impact on foot health. Poorly controlled blood sugar levels can lead to nerve damage, poor circulation, and delayed wound healing, all of which affect foot health.
d. This choice is incorrect. Checking blood sugar levels only when experiencing foot pain may not provide timely information about blood sugar control and foot health. Regular monitoring of blood sugar levels is important for overall diabetes management.
Correct Answer is C
Explanation
Redness and warmth on the sole of the foot may indicate inflammation or infection and require further assessment and intervention to prevent complications.
Incorrect choices:
a. This choice is incorrect. Mild dryness of the skin may require moisturizing but does not necessarily require immediate intervention.
b. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care and monitoring.
d. This choice is incorrect. Mild swelling of the ankles may require monitoring but does not necessarily indicate an immediate need for intervention.
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