A 60-year-old patient with diabetes is at the healthcare center for treatment of diabetic neuropathy. The nurse provides teaching to the client about caring for his feet to prevent skin breakdown and infection. Which of the following information should the nurse include as part of this teaching?


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- Do not wear open-toe or open-heel shoes

- Use only commercial remedies to remove calluses or corns that have developed on the feet

- Cut toenails and cuticles at night before going to bed

- Thoroughly dry the feet after a shower, using a starched washcloth between the toes


Diabetic patients are at higher risk of wounds because of alterations in circulation and changes in sensation in the lower legs and feet. Because a diabetic patient may have an injury and may not know it, the nurse should counsel the patient to check his feet regularly and to provide specific care. The patient should avoid wearing open-toe or open-heel shoes or sandals, as these shoes expose the skin of the feet and can increase the risk of injury.

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