The nurse is planning teaching for a client diagnosed with diabetic neuropathy. What should the nurse include in this teaching?
A) Set the water heater at 120 °F.
B) Avoid hand and foot massages.
C) Use a mirror to inspect feet daily.
D) Increase medication for pain as necessary.
Answer: C
Using a mirror to inspect the feet daily is recommended because the client may not feel the formation of pressure points, blisters, or ulcers. Setting the water heater at 120 °F is incorrect because it is too hot and the client may be scalded because of lack of sensation. Avoiding hand and foot massages is incorrect because this therapy will relax the client, increase the circulation, reduce the need for medication, and increase the psychological benefits of touch, including the ability to be soothed, comforted, held, and loved. Increasing medication for pain as necessary is incorrect because it can further decrease touch sensation by clouding the sensorium and inducing lethargy, which requires additional supervision and monitoring to ensure safety.
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