Prior to dressing the right heel ulcer, what should the nurse do first?

• A. Inspect the feet carefully for temperature, sensation, and drainage.
• B. Elevate the affected foot.
• C. Avoid weight-bearing activities.
• D. Administer broad-spectrum antibiotics.

Answer: (A)

Assessing the foot thoroughly before applying a dressing is essential. Checking temperature helps detect local inflammation or infection, which may require different wound care or antibiotics. Evaluating sensation reveals neuropathy, a common issue in older adults that can mask injuries and influence how a dressing should fit and protect the area. Looking at drainage shows the current wound status and whether infection control or debridement is needed. These findings guide the appropriate dressing choice and any additional interventions. Other actions, like elevating the foot, avoiding weight-bearing, or starting antibiotics, depend on what is found during this initial assessment rather than being the first step.