Yusuf, a 25-year-old marathon runner, is recently diagnosed with diabetes mellitus type 2. The nurse determines that the client’s activities make him susceptible to foot injuries and wounds. Recognizing the serious consequences of wounds in diabetic clients, foot care is emphasized to the client. Which of the following instructions should the nurse include in the teaching session?
  1. Wear open-toed shoes.
  2. Cut your toenails after a bath.
  3. Wear the same pair of shoes every day.
  4. Wear shoes made of synthetic materials.
Explanation
Answer: B - The nurse should instruct the client to cut his toenails after a bath. The client must also be instructed to cut his nails straight across and not in corners or on the sides. Wearing open toed-shoes increases the risk of injury. Shoes must be used alternately, as it takes more than a day to thoroughly dry out a pair of shoes. Synthetic materials do not allow the escape of perspiration and buildup of moisture.
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