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

An area of discolored, darkened, and slightly raised skin that has been present for several weeks may indicate a potential skin condition or complication that requires further evaluation and treatment by a healthcare provider.

Incorrect choices:

a. This choice is incorrect. Applying an antibiotic ointment without a proper diagnosis may not address the underlying issue.

b. This choice is incorrect. The described findings are not consistent with a normal skin variation and require further assessment.

c. This choice is incorrect. While keeping the area dry and clean is important, it may not be sufficient to address the underlying issue.

A. Wearing shoes with pointed toes. B. Keeping the feet elevated for extended periods. C. Using a foot roller to massage the soles of the feet. D. Applying moisturizer between the toes.

Correct Answer is A

Explanation

Wearing shoes with pointed toes can compress the toes and increase the risk of pressure points, ulcers, and other foot issues.

Incorrect choices:

b. This choice is correct. Keeping the feet elevated for extended periods can reduce swelling and improve circulation.

c. This choice is correct. Using a foot roller to massage the soles of the feet can promote circulation and reduce tension.

d. This choice is correct. Applying moisturizer between the toes is not recommended as it can create a moist environment and increase the risk of fungal infections.

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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 observes an area of skin that is discolored, darkened, and slightly raised. The client reports that the area has been present for several weeks. What action should the nurse take?

Correct Answer is D

Explanation

The nurse is teaching a client with diabetes about preventing foot injuries. Which activity should the client avoid?

Correct Answer is A

Explanation

The nurse is performing a foot assessment for a client with diabetes. Which finding requires immediate intervention?

The nurse is assessing a client's feet as part of diabetic foot care. Which finding requires further assessment and intervention?

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The nurse is assessing a client's foot as part of diabetic foot care. Which finding requires immediate intervention?

The nurse is providing education to a client with diabetes about preventing foot injuries. Which action should the client prioritize?

The nurse is discussing proper foot hygiene with a client who has diabetes. Which statement by the client indicates a need for further education?

The nurse is discussing foot care with a client with diabetes. Which statement by the client indicates a good understanding of proper foot care?