The client with diabetes mellitus reports having difficulty cutting his toenails. The nurse assesses the toenails and notes the nails are thick and ingrown. Which of the following recommendations should be provided to the client?
1. Cut the nails straight across with a clipper after the bath.
2. Make an appointment with a nail shop for a pedicure.
3. Make an appointment with a podiatrist.
4. Offer to file the tops of the nails to reduce thickness after cutting.
3. Make an appointment with a podiatrist.
Rationale:
The toenails of the client with diabetes require close care. If the nails are thick or ingrown, they require the attention of a podiatrist. Cutting the nails across after the bath is correct for toenails that do not demonstrate the complications listed. The client with diabetes is at an increased risk for infection and should avoid situations in which this risk is increased, such as the nail shop pedicure. The nurse should not cut the nails of the client.
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