Certified Wound Ostomy Nurse (CWON) Practice Test

What is not recommended for people with neuropathic ulcers in terms of footwear?

1. Wearing tight-fitting shoes

2. Wearing soft, cushioned shoes

3. Wearing loose-fitting sandals

4. Wearing custom-fitted insoles

The correct answer is: Wearing tight-fitting shoes

Wearing tight-fitting shoes is not recommended for people with neuropathic ulcers due to the potential for increased pressure and friction on the feet. Neuropathic ulcers can develop when there is a loss of sensation in the feet, often leading to a failure to notice injuries or pressure points. Tight footwear exacerbates this risk by restricting blood flow and causing additional trauma to sensitive areas, which can hinder healing and increase the risk of ulcer formation. In contrast, soft, cushioned shoes are beneficial as they provide support and absorb shock, reducing the impact on ulcer-prone areas. Loose-fitting sandals can promote airflow and decrease pressure on the feet, while custom-fitted insoles are designed to distribute weight evenly and offer additional cushioning, both of which can help in managing neuropathy and preventing further complications.