Which nail care practice is appropriate for CNAs to perform?

• A. Clip nails aggressively
• B. Soak nails
• C. Ignore nails
• D. File nails and smooth edges; avoid clipping

Answer: (D)

The main idea is performing nail care in a way that keeps the resident safe and comfortable. Filing nails and smoothing rough edges accomplishes this best because it removes sharp points without cutting skin, which can cause bleeding or infections, especially in people with diabetes or poor circulation. This approach reduces the risk of injury while still maintaining hygiene and comfort. Soaking nails or ignoring them aren’t appropriate: soaking can soften skin and nails and increase infection risk, and ignoring nails neglects basic care. Aggressive clipping is avoided because it can easily injure skin and lead to complications.