Certified Wound Ostomy Nurse (CWON) Practice Test

What defines level two foot care?

1. Long, thick toenails and altered sensory status

2. Minimal foot issues with no interventions needed

3. Free of corns and calluses

4. Cut toenails once a year

The correct answer is: Long, thick toenails and altered sensory status

Level two foot care is characterized by the presence of long, thick toenails and altered sensory status. This indicates that the individual may be experiencing some degree of vascular or neurological issues, suggesting a risk for complications such as infections or ulcers. It highlights the need for more attentive foot care to prevent further complications that could arise from both poor nail care and sensory loss. The other choices do not align with the definition of level two foot care. Minimal foot issues with no interventions needed represent a lower level of care, while being free of corns and calluses suggests that foot health is generally good and does not require intensive management. Cutting toenails once a year does not reflect the need for regular and proactive care typically required for those with altered sensory status. Therefore, the presence of long, thick toenails alongside sensory alterations accurately defines a more advanced level of foot care requirement.