Medical Surgical Diabetes #20

Question

The nurse is instructing a client with diabetes on foot care. Which instruction by the nurse is most appropriate to include?

Answers

  1. “You may go barefoot in familiar places.”
    • Rationale:

      This answer is not correct because a diabetic should be instructed to not go barefoot. Clients with diabetes should be taught foot care including wearing comfortable shoes to protect their feet from injury. This will reduce complications associated with diabetic peripheral neuropathy and skin compromise of the foot that can cause non-healing sores and amputations.

  2. “Wear cotton socks and use foot powder to keep feet dry.”
    • Rationale:

      This answer is correct because clients with diabetes should be taught foot care so as to reduce complications associated with diabetic peripheral neuropathy and skin compromise of the foot. This will help reduce susceptibility to non-healing wounds and amputations. Foot care teaching for diabetics includes wearing cotton socks and use of foot powder to keep feet dry.

  3. “It is permissible to wear tight shoes for limited periods.”
    • Rationale:

      This answer is not correct because tight fitting shoes can cause blisters and other skin sores. Wearing comfortably fitting shoes will reduce complications associated with diabetic peripheral neuropathy and skin compromise of the foot that can cause non-healing sores and amputations.

  4. “Trim the toenails with good scissors regularly.”
    • Rationale:

      This answer is not correct because scissors should not be used to trim the toenails. Using clean toenail clippers and cutting straight across or having a professional cut toenails will reduce complications associated with diabetic peripheral neuropathy and skin compromise of the foot that can cause non-healing sores and amputations.

Overview

Diabetes can cause diabetic peripheral neuropathy, which can reduce the sensations and feeling felt in the feet. Astute foot care should be taught to diabetics including wearing cotton socks and use of food powder to keep the feet dry.

Explanation

Learning Outcomes

Diabetes can cause diabetic peripheral neuropathy, which can reduce the sensations and feeling felt in the feet. This can be very dangerous for the diabetic client since they also have reduced ability to heal. Clients with diabetes should be taught foot care so as to reduce complications associated with skin compromise of the foot. Foot care for diabetics includes wearing cotton socks and use of foot powder to keep feet dry. Wetness may promote bacterial and fungal growth. It is not recommended to go barefoot or wear tight fitting shoes. Toenails should not be cut with scissors to prevent cuts and injury.

Test Taking Tip

Foot care is something a diabetic has to learn related to their disease. It takes a change in habits and thinking so sometimes resistance to these changes occur. Reeducation and reinforcement is needed so the client doesn’t have complications associated with foot problems. Therefore, NCLEX finds this very important. Education is important on the NCLEX exam and in real-life nursing!

Video Rationale