Author Question: A diabetic patient presents with the complaint of right foot pain but denies any recent known ... (Read 44 times)

nautica902 · **on:** Jul 11, 2018

A diabetic patient presents with the complaint of right foot pain but denies any recent known injury. He states it has gotten progressively worse over the past few months. On exam, vibratory sense, as well as sensation tested with a monofilament, was abno

The patient's foot is warm, edematous, and misshapen. The nurse practitioner suspects Charcot foot. What intervention is indicated?
A. Warm soaks and return for follow-up in 1 week
B. Referral to a pain management clinic
C. Referral to an orthopedist
D. Referral to a cardiologist for evaluation of peripheral vascular disease

Question 2

A patient has been prescribed metformin (Glucophage). One week later he returns with lowered blood sugars but complains of some loose stools during the week. How should the nurse practitioner respond?

A. Discontinue the medication immediately
B. Reassure the patient that this is an anticipated side effect
C. Double the dosage of medication and have patient return in 1 week
D. Order a chem. 7 to check for lactic acidosis