A nurse is reinforcing teaching about foot care with a client who has type 2 diabetes mellitus.
Which of the following statements by the client indicates an understanding of the teaching?
A.
I need to use iodine to disinfect cuts on my feet.
B.
I should soak my feet in warm water every morning.
C.
I will wear a clean pair of cotton socks each day.
D.
I can remove ingrown toenails at home as needed.
The Correct Answer and Explanation is:
The correct answer is C. “I will wear a clean pair of cotton socks each day.”
Explanation:
Clients with diabetes mellitus are at an increased risk of developing foot problems due to potential nerve damage (neuropathy) and poor circulation. Proper foot care is crucial for preventing infections, ulcers, and complications that could lead to amputations.
Option A: I need to use iodine to disinfect cuts on my feet. This is incorrect. Using strong antiseptics like iodine can cause skin irritation and delay healing. If the client has a cut or wound on their feet, they should clean it with mild soap and water, apply an appropriate dressing, and notify their healthcare provider if there are any signs of infection. Iodine is not recommended because it may damage the skin further.
Option B: I should soak my feet in warm water every morning. This is incorrect. Soaking the feet, even in warm water, can lead to skin maceration (softening and breakdown of the skin) and increase the risk of infection. Clients should wash their feet daily with mild soap and lukewarm water, but they should avoid soaking.
Option C: I will wear a clean pair of cotton socks each day. This is the correct response. Wearing clean, dry cotton socks daily is an important aspect of foot care for clients with diabetes. Cotton socks allow the feet to breathe and help keep them dry, reducing the risk of fungal infections and skin irritation. Wearing clean socks also ensures that dirt and bacteria do not accumulate, which can contribute to foot infections.
Option D: I can remove ingrown toenails at home as needed. This is incorrect. Clients with diabetes should avoid performing “bathroom surgery” or attempting to remove ingrown toenails on their own. They should seek care from a healthcare provider or a podiatrist if they develop an ingrown toenail, as improper handling could lead to infection or injury.
In summary, wearing clean, breathable socks helps promote healthy feet and minimizes the risk of complications in clients with type 2 diabetes. Proper foot care involves regular inspection, appropriate footwear, and prompt attention to any foot issues.