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

What is the first step in foot care for patients with intact sensation?

1. Trim toenails only

2. Conduct an annual assessment

3. Educate on common foot problems

4. Use medicated creams

The correct answer is: Conduct an annual assessment

The initial step in foot care for patients who have intact sensation is to conduct an annual assessment. This assessment is crucial because it allows healthcare providers to identify any changes in the patient's foot health, such as skin integrity, circulation issues, or early signs of common foot problems. By understanding the current condition of the patient's feet, appropriate education and preventive measures can be tailored to their specific needs, ensuring that they can maintain their foot health effectively. While trimming toenails, educating about common foot problems, and using medicated creams are all important aspects of foot care, they are secondary actions that should take place after a thorough assessment has established the baseline health of the feet. The annual assessment serves as the foundation for all other interventions and helps to proactively address any issues before they advance.