Oregon Certified Nursing Assistant State Practice Exam

The best way for an NA to provide foot care for a diabetic resident is to?

1. Cut the resident's toenails to keep them short and clean

2. Encourage the resident not to wear socks

3. Make sure the resident is barefoot most of the time

4. Observe the feet regularly for signs of irritation

The correct answer is: Observe the feet regularly for signs of irritation

Observing the feet regularly for signs of irritation is crucial for diabetic residents because diabetes can lead to various complications, including neuropathy and poor circulation, which may impair their ability to detect injuries or skin changes. Regular inspections allow for early identification of any issues such as cuts, blisters, redness, or fungal infections, which can escalate quickly and potentially lead to serious conditions, including ulcers or infections. Preventative measures through regular foot observation help ensure that any abnormalities are addressed promptly, thereby reducing the risk of severe complications. This practice is part of comprehensive foot care management for individuals with diabetes, emphasizing the importance of vigilance in maintaining foot health. In contrast, cutting toenails may not always be beneficial without the proper training and assessment, as improper nail trimming can lead to injuries. Not wearing socks or being barefoot can expose the feet to injuries and infections, which is especially risky for diabetics. Each of these practices could contribute to foot problems rather than prevent them, highlighting why the regular observation of the feet is the most effective strategy in this context.