The nurse is planning discharge teaching for a client who has peripheral neuropathy of the lower extremities. Which instruction does the nurse include in the teaching plan?
a. "Cut all calluses and corns from your feet as soon as you notice them."
b. "Your balance will be steadier if you go barefoot while at home."
c. "Use a thermometer to check the temper-ature of bath water."
d. "Avoid using lotion on the feet and legs."
C
The client with neuropathy has loss of sensation in the lower extremities, which can predispose the client to thermal injury. The client should be instructed to use a thermometer to check the temperature of the bath water to avoid a burn. Checking the water with the hands is not recom-mended because neuropathy may have a stocking and glove distribution that could also affect the hands. The client should be taught to wear shoes at all times, to assess feet and legs daily, to keep skin moist and clean, and not to cut calluses or corns from the feet.
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