An older man with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?

Question

a. Wear well-fitting, leather shoes
b. Wear knee-high nylon stockings
c. Soak the feet in warm water
d. Apply antifungal powder on the feet

Answer 1

A
The older adult is potentially experiencing a peripheral neuropathy from peripheral nerve damage from hyperglycemia. To prevent trauma to the feet, the nurse instructs him to wear comfortable, well-fitting, tie-on shoes with a broad toe space and low heels for protection. Nylon stockings for men tend to have restrictive ends that can inhibit tissue perfusion; because this patient is at risk for peripheral tissue damage, the constricted area can break down. The nurse also instructs him to avoid sitting with one leg crossed over the other or with both legs crossed at the knee; these positions restrict blood flow to the feet. Foot soaks can potentially cause excessive dryness. To maintain skin integrity, feet should be washed daily but not soaked. Irritating chemicals such as antifungal powder and corn or wart preparations should not be used on the feet of individuals with diabetes.