The nurse is teaching a client with a diabetic foot ulcer about footwear. Which statement by the client indicates a need for further education?

Tight-fitting socks can restrict blood flow and increase the risk of friction and pressure on the feet, leading to complications. Loose-fitting socks made of moisture-wicking material are recommended.

Incorrect choices:

a. This choice is correct. Choosing shoes with a wide toe box helps prevent pressure on the toes and reduces the risk of developing foot ulcers.

b. This choice is correct. Checking the inside of shoes for objects or rough spots is important to prevent injuries and friction that can lead to foot ulcers.

d. This choice is correct. Wearing sandals or open-toed shoes increases the risk of injury and exposure to debris, making closed-toe shoes a safer choice for foot protection.

An area of deep, blackened tissue indicates tissue necrosis and potential gangrene, which requires immediate intervention to prevent further complications and possible amputation.

Incorrect choices:

a. This choice is incorrect. Dry and slightly rough skin may require moisturizing but does not indicate an immediate need for intervention.

b. This choice is incorrect. Warmth and redness on the sole of the foot may indicate increased blood flow or irritation but does not necessarily require immediate intervention.

c. This choice is incorrect. A small, superficial blister can be addressed with appropriate wound care, but it does not require immediate intervention unless it shows signs of infection.