Docker for Node.js developers is crucial to ensure security and production-readiness, as naive approaches can lead to many security risks. To make Docker a secure choice, it's essential to choose the right Node.js Docker base image, scan your Docker image during development, fix runtime vulnerabilities in your Docker images, monitor deployed Docker images for your Node.js applications, and follow security guidelines and production-grade recommendations for a secure and optimal Docker image. By following these steps, developers can create secure and performant Docker base images that minimize the risk of security vulnerabilities and ensure the reliability and performance of their web applications.