Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What should a foot care assessment for level two patients include?

1. Only foot hygiene education

2. Trimming toenails and buffing corns/callouses

3. Advising them to purchase any shoes

4. No specific care needs

The correct answer is: Trimming toenails and buffing corns/callouses

A foot care assessment for level two patients is comprehensive and aims to address various aspects of foot health. Including trimming toenails and buffing corns or calluses is critical because patients at this level often experience complications such as poor circulation or neuropathy, which can lead to issues like ingrown toenails, infections, or ulcerations if proper care is not provided. Regular nail trimming helps to prevent overgrowth and associated complications, while managing calluses and corns can help alleviate pressure and discomfort. The assessment goes beyond mere observation; it engages in proactive measures to maintain foot health. This helps in reducing the risk of foot-related complications and ensures a higher quality of life for the patient. Furthermore, the presence of corns and calluses can indicate underlying pressure points, which require attention to prevent potential future problems. In contrast, focusing solely on foot hygiene education, advising on shoe purchases without considering specific foot needs, or suggesting that there are no specific care needs overlooks the comprehensive and preventative nature of foot care for these patients. It's essential to engage in practical interventions that directly address their foot health concerns.