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

Which approach is recommended for treating autonomic neuropathy?

1. Applying heavy pressure dressings

2. Using pumice stone on fissures

3. Ignoring moisture levels in feet

4. Restraining foot movements

The correct answer is: Using pumice stone on fissures

Using a pumice stone on fissures is an appropriate approach for treating autonomic neuropathy, especially when it involves care for foot health. Autonomic neuropathy can lead to loss of normal sensations, as well as changes in skin conditions due to inadequate moisture and poor circulation. The application of a pumice stone helps in removing thickened, dry skin and can improve the appearance of fissures on the feet, which might otherwise become more problematic if left untreated. Regular maintenance of foot care is crucial in patients with autonomic neuropathy to prevent complications such as skin breakdown or infections. Proper foot care, including the use of a pumice stone, helps to promote overall foot health and can mitigate some of the symptoms associated with neuropathy. In contrast, heavy pressure dressings, ignoring moisture levels, and restraining foot movements are not effective interventions for managing the issues related to autonomic neuropathy. Heavy dressings may contribute to further skin damage or impair circulation, while ignoring moisture levels can lead to skin integrity issues. Restraining foot movements may also be detrimental, as it can restrict circulation and limit mobility, which are vital for maintaining foot health in patients with neuropathy.