Which foot care instruction is inappropriate for a client with diabetes?

Which foot care instruction is inappropriate for a client with diabetes?

• A. Soak the feet in hot water.
• B. Avoid using soap to wash the feet.
• C. Apply a moisturizing lotion to dry feet, but not between the toes.
• D. Always have a podiatrist cut your toenails; never cut them yourself.

Answer: (A)

The main idea is that foot safety in diabetes hinges on protecting the skin from burns and breakdown because neuropathy can dull pain and healing is often slower. Soaking the feet in hot water is inappropriate because reduced sensation can prevent you from recognizing heat that could burn the skin. A burn on diabetic skin can quickly lead to ulcers and infection, and soaking also macerates the skin, making it more vulnerable to damage. Instead, keep water warm, not hot, and test it with the inside of your wrist; limit soaking time and dry the feet thoroughly afterward, especially between the toes. Daily washing with mild soap is appropriate to remove dirt, followed by drying and applying a moisturizer to the feet (not between the toes to avoid excess moisture there). For nails, trimming straight across and seeking professional care if needed helps prevent injuries. These practices collectively support skin integrity and reduce infection risk in diabetes.

The main idea is that foot safety in diabetes hinges on protecting the skin from burns and breakdown because neuropathy can dull pain and healing is often slower. Soaking the feet in hot water is inappropriate because reduced sensation can prevent you from recognizing heat that could burn the skin. A burn on diabetic skin can quickly lead to ulcers and infection, and soaking also macerates the skin, making it more vulnerable to damage. Instead, keep water warm, not hot, and test it with the inside of your wrist; limit soaking time and dry the feet thoroughly afterward, especially between the toes. Daily washing with mild soap is appropriate to remove dirt, followed by drying and applying a moisturizer to the feet (not between the toes to avoid excess moisture there). For nails, trimming straight across and seeking professional care if needed helps prevent injuries. These practices collectively support skin integrity and reduce infection risk in diabetes.