The nurse aide is demonstrating proper foot care to a diabetic client. Which of the following is an appropriate action?
  1. Soaking the client’s feet in hot water
  2. Avoiding using mild soap on the feet
  3. Applying a moisturizing lotion to dry feet, but not between the toes
  4. Cutting nails and removing cuticles weekly
Explanation
Answer: C - The nurse assistant should apply a moisturizing lotion to dry feet, but not between the toes. The moisture between the toes can encourage fungus growth. Other guidelines for foot care are the following:
§Wash feet every day. Dry them carefully, especially between the toes.
§If the person can see and reach the toenails, trim them when needed. Trim toenails straight across, and file the edges with an emery board or nail file.
§Wear shoes and socks at all times. Never walk barefoot. Wear comfortable shoes that fit well and protect the feet. Check the insides of the shoes before wearing them. Make sure the lining is smooth and there are no objects inside.
§Protect feet from hot and cold. Wear shoes at the beach or on hot pavement. Don't put feet into hot water. Test water before putting the feet in it. Never use hot water bottles, heating pads, or electric blankets. The person can burn his feet without feeling it.
§Keep the blood flowing to the feet. Put feet up when sitting. Wiggle toes and move ankles up and down for 5 minutes, two (2) or three (3) times a day. Don't cross legs for long periods of time. Don't smoke.
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