NCLEX-RNBasic Care and ComfortMedium
A nurse is teaching a client with diabetes mellitus about proper foot care to prevent complications. Which statement by the client indicates a need for further teaching?
- A"I will wear well-fitted, closed-toe shoes when I go outside."
- B"I will soak my feet in warm water for 30 minutes each night."
- C"I will trim my toenails straight across and file the edges."
- D"I will inspect my feet every day using a mirror to see the bottoms."
Show answer & explanationAnswer & explanation
Correct answer: B. "I will soak my feet in warm water for 30 minutes each night."
Prolonged soaking softens and macerates the skin, increasing the risk of skin breakdown and infection in clients with diabetic neuropathy and impaired circulation; feet should be washed briefly, not soaked.
Why the other options are wrong
- A. Closed-toe, well-fitted shoes protect the feet from injury and are correct.
- C. Trimming straight across prevents ingrown toenails and is correct technique.
- D. Daily inspection with a mirror is correct because it detects injuries the client cannot feel due to neuropathy.
Diabetic Foot Care
Preventive hygiene practices for clients with diabetes to reduce risk of ulceration, infection, and amputation due to neuropathy and poor circulation.
- Inspect feet daily for cuts, blisters, or redness
- Avoid soaking feet; wash and dry thoroughly, especially between toes
- Wear properly fitted, closed-toe shoes and avoid walking barefoot
Memory trick: Dry, not soggy — soaking makes diabetic skin boggy.