Module 1

Introduction to Foot and Nail Care Quiz Answers

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Learning Objective 1: Explain the principles of being a foot care nurse.

 

Goal Statement: This quiz tested for knowledge gaps and assist with recognizing important concepts. All information found in the modules relates to concepts that prove competency. Foot and nail care is not simply the act of trimming nails; it is the science and art of knowing the body and the person. Every health and wellbeing issue is possible and connected.

 

 

1. Mrs. Albee has pain in her gastrocnemius when walking after a certain distance. You suggest that she:

  1. Elevate her legs for at least 20 minutes a day three times a day.

  2. Walk at a moderate pace for at least 20 minutes a day five times a week.

  3. Wear compression stockings with a pressure of at least 30 mmHg.

  4. Visit her podiatrist for a new order of shoe orthotics to be worn every day.

 

Answer: B. A routine walking program has been shown beneficial to those with intermittent claudication. Elevating legs and wearing compression stockings will make arterial insufficiency worse. Old orthotics will most likely cause foot pain, not calf pain.

 

 

2. Mr. Brenner has a erythematous foot that is warm to the touch. The plantar aspect of the midfoot is swollen, showing a “rocker bottom”, with no pain. Mr. Brenner most likely needs a referral to a:

  1. cardiologist who can order an ankle brachial index for circulation.

  2. dermatologist who can prescribe antibiotics to reduce infection.

  3. podiatrist who can order x-rays and apply a total contact cast.

  4. professional shoe fitter who can measure for height and width.

 

Answer: C. Mr. Brenner has signs of Charcot foot and will require confirmation and offloading to reduce disarticulation of his foot bones. Treating for cellulitis is not effective to rule out Charcot foot. An ABI addresses ischaemia, which is most likely painful, and can be normal in those with diabetes (Humphreys, 1999). A wider, deeper shoe will not prevent further disarticulation.

 

 

3.  Mrs. Casey has an erythematous foot that when elevated is cool to the touch and pale. The forefoot is swollen and painful and there are no distal pulses. She should be referred to a specialist because she may have:

  1. Cellulitis

  2. Charcot foot

  3. Ischemia

  4. Lymphedema

 

Answer: C. When elevated, erythematous feet may be cool to the touch and pale due to ischemia caused by either arterial insufficiency or obstruction (Humphreys, 1999). Because of the high risk for loss of limb, clients should be referred to immediately see a vascular specialist (Humphreys, 1999).

 

 

4. Mr. DeMartino was found on the floor after falling three days ago. He has a maroon colored area over his calcaneos. This is most likely due to:

  1. Deep tissue injury

  2. Ecchymosis

  3. Gangrene

  4. Stage 1 pressure injury

 

Answer: A. Deep tissue injuries are known for their maroon color and the heel is a bony prominence that is prone to pressure.

 

 

5. Mrs. Eldridge stepped on an upholstery tack an unknown amount of days ago. The wound is not showing signs of infection, has minimal exudate, and she denies any pain. You should suggest that she:

  1. Uses an antibiotic ointment and bandage to be changed every day.

  2. Visits a wound care clinic for an assessment and recommendation.

  3. Washes her foot with soap and warm water every night before bed.

  4. Wears a clean, white sock every day and monitor for infection.

 

Answer: B. Mrs. Eldridge is showing signs of loss of protective sensation, so she may not feel pain in certain areas of her feet. Pain as a sign of infection would not be detectable. Puncture wounds are prone to undermining. This injury may need to be debrided by a foot and ankle surgeon at either a wound care clinic or private practice.

Foot and Nail Care Online Course Menu

Abstract 1: Introduction to Foot and Nail Care

Case Study 1

Section 1.1: State Regulations and Scope of Practice 

Section 1.2: Certification Examinations

Section 1.3: Introduction to Modules 2-8

Quiz 1

Foot Care Video 1

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