A nurse is teaching a client who has diabetes mellitus about foot care.
Which of the following instructions should the nurse include?
A.
“Wear cotton rather than nylon socks.”.
B.
“Use a heating pad to keep your feet warm at night.”.
C.
“Wear loose-fitting slippers around the house.”.
D.
“Wash your feet twice per day with antibacterial soap and hot water.”.
The correct answer and Explanation is :
The correct answer is:
A. “Wear cotton rather than nylon socks.”
Explanation:
Foot care is crucial for individuals with diabetes mellitus due to the increased risk of foot complications such as infections, ulcers, and neuropathy. Proper foot care can help prevent these issues and maintain overall foot health. Here’s why each instruction stands out:
A. “Wear cotton rather than nylon socks.”
Cotton socks are recommended for people with diabetes because they are breathable and help absorb moisture. Excess moisture can lead to fungal infections or skin breakdown, especially in people with neuropathy who might not notice minor injuries. Cotton socks also help to reduce friction and pressure on the feet, which can help prevent blisters and calluses. Nylon socks, on the other hand, can trap moisture and may not provide the same level of comfort and protection.
B. “Use a heating pad to keep your feet warm at night.”
Using a heating pad is not recommended for individuals with diabetes, especially those with neuropathy. Diabetes can lead to decreased sensitivity in the feet, meaning the person might not feel if the heat becomes too intense and could suffer burns or other injuries. It’s safer to use other methods for warmth, such as layering with blankets, and to consult a healthcare provider for appropriate ways to manage warmth.
C. “Wear loose-fitting slippers around the house.”
While wearing loose-fitting slippers might sound comfortable, it’s important to ensure that they are well-fitting and provide adequate support. Loose slippers can cause tripping or slipping hazards and may not protect the feet effectively. Properly fitted shoes or slippers with cushioning and support are preferable.
D. “Wash your feet twice per day with antibacterial soap and hot water.”
Washing feet twice a day can be excessive and could potentially lead to dryness or irritation. Additionally, hot water can damage the skin, particularly for those with neuropathy who might not detect the temperature. It is better to wash feet daily with lukewarm water and mild soap, and to ensure that the feet are thoroughly dried and moisturized to prevent cracking and infections.
Overall, proper foot care for diabetic patients involves wearing breathable materials, ensuring proper fit and support, and avoiding practices that could lead to injury or skin damage.