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

What type of footwear is suggested for individuals at risk of neuropathic ulcers?

1. High-heeled shoes with cushioning

2. Rigid soles and turned up tips

3. Custom-designed shoes with extra depth and insoles

4. Any open-toed footwear

The correct answer is: Custom-designed shoes with extra depth and insoles

Individuals at risk of neuropathic ulcers benefit from wearing custom-designed shoes with extra depth and insoles because these shoes are specifically designed to accommodate foot deformities and provide adequate support. Patients with neuropathy often experience diminished sensation and may not feel pressure points that can lead to ulceration. Custom-designed shoes can help distribute pressure more evenly across the foot, reducing the risk of skin breakdown and ulcer formation. Extra depth in shoes allows for additional padding and room for unique foot structures, while insoles can be tailored to redistribute pressure and enhance comfort. This is particularly important for those who may have reduced mobility or altered biomechanics due to neuropathy, making the need for supportive and protective footwear critical in preventing complications like neuropathic ulcers. The other footwear options do not adequately address the needs of individuals prone to developing ulcers. High-heeled shoes, for instance, can create pressure points and are not stable enough for those at risk. Rigid soles and turned-up tips may contribute to uneven weight distribution, also raising the risk of ulceration. Open-toed footwear typically offers limited protection and may expose vulnerable areas of the foot to injury or pressure, which is not suitable for individuals at risk of neuropathic ulcers.