The nurse is conducting discharge teaching with a client who has been newly diagnosed with type 1 diabetes mellitus. Which statement from the client indicates the need for additional teaching?

Choice A reason: Walking barefoot, even at home, is risky for type 1 diabetes patients due to neuropathy, which reduces foot sensation, increasing injury risk. Unnoticed cuts can lead to infections, exacerbated by poor healing from hyperglycemia, indicating a need for further education on foot care. Choice B reason: Testing blood sugar at least four times daily is correct for type 1 diabetes to monitor glucose levels and adjust insulin. This reflects proper self-management, aligning with standard care guidelines, so no additional teaching is needed for this statement. Choice C reason: Being alert for infections is critical in type 1 diabetes, as hyperglycemia impairs immune function, increasing infection risk. This statement shows appropriate awareness of complications, consistent with proper self-care, so no further teaching is required. Choice D reason: Staying hydrated is important in type 1 diabetes to prevent dehydration from polyuria, a common symptom due to glucose-induced osmotic diuresis. This statement indicates correct understanding, aligning with management goals, so no additional teaching is needed.