31. Which aspect of care is most important for a client with diabetic neuropathy?
. Teach the client to inspect the feet using a mirror.
. Teach the client to wash feet, then pat dry.
. Have client moisturize feet with lotion to prevent dryness.
. Teach the client to cut toenails straight across.
Test-Taking Tip
All options are correct. Choose the one that has the greatest potential for preventing a serious problem.
Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Implementation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Personal Hygiene
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Answer 1 is correct because neuropathies reduce the sensation (pain) in the client's feet. Consequently, the client is unaware of injuries or trauma to the feet that could lead to ulceration and cellulitis, which are more difficult to treat in the person who has diabetes. Answer 2 is incorrect because inspection of the feet with mirrors is most important. Foot care is important; however, any breakdown would be noted using a mirror. Answer 3 is incorrect because inspection is most important. Proper foot care will prevent cracks, which would be noted by using a mirror. Answer 4 is incorrect because, although this technique is correct and should prevent foot complications, inspection of feet is most important.