Review Question - QID 213622

A 55-year-old man presents after stepping on a nail while cleaning his yard. He was unable to remove the nail or take off his shoe thus prompting his presentation. The patient has type I diabetes and hypertension and is poorly compliant with his medications. His temperature is 100°F (37.8°C), blood pressure is 179/102 mmHg, pulse is 101/min, respirations are 15/min, and oxygen saturation is 99% on room air. Physical exam is notable for a blood soaked shoe with a nail going through it. A 4 cm nail is removed, the patient’s shoe and sock are taken off, and his foot and the wound are thoroughly irrigated. The patient is given a tetanus vaccine and 1 dose of vancomycin. Which of the following is the most appropriate management of this patient?