A nurse assesses a client who has a 15-year history of diabetes ...

[Frost2351]

A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. Which action should the nurse take first?
 
  a. Document the finding in the client's chart.
  b. Assess tactile sensation in the client's hands.
  c. Examine the client's feet for signs of injury.
  d. Notify the health care provider.

Question 2

After teaching a young adult client who is newly diagnosed with type 1 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the need for eye examinations?
 
  a. At my age, I should continue seeing the ophthalmologist as I usually do.
  b. I will see the eye doctor when I have a vision problem and yearly after age 40.
  c. My vision will change quickly. I should see the ophthalmologist twice a year.
  d. Diabetes can cause blindness, so I should see the ophthalmologist yearly.

[verrinzo]

Answer to Question 1

ANS: C
Diabetic neuropathy is common when the disease is of long duration. The client is at great risk for injury in any area with decreased sensation because he or she is less able to feel injurious events. Feet are common locations for neuropathy and injury, so the nurse should inspect them for any signs of injury. After assessment, the nurse should document findings in the client's chart. Testing sensory perception in the hands may or may not be needed. The health care provider can be notified after assessment and documentation have been completed.

Answer to Question 2

ANS: D
Diabetic retinopathy is a leading cause of blindness in North America. All clients with diabetes, regardless of age, should be examined by an ophthalmologist (rather than an optometrist or optician) at diagnosis and at least yearly thereafter.

[Frost2351]

Excellent

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