Author Question: An 80-year-old patient is being discharged after he was diagnosed with diabetes mellitus and ... (Read 13 times)

nenivikky · **on:** Jul 22, 2018

An 80-year-old patient is being discharged after he was diagnosed with diabetes mellitus and retinopathy.

His daughter has been part of the discharge instruction process. Understanding of the instructions is evident when the daughter says which of the following?
a. I will make sure that Dad always wears warm socks.
b. Dad needs to wear his glasses so he can delay the onset of macular degeneration.
c. I will ask the home health aide to carefully inspect Dad's feet every day when she helps him bathe.
d. We will give him only warm foods, so that he doesn't burn his mouth.

Question 2

The patient who had a hip replacement yesterday has a visual acuity of 20/200 after correction. What is the nurse's best action to provide recreational activities during the rehabilitation phase?

a. Place the television to the left or right of patient's visual field.
b. Encourage the patient to learn braille.
c. Suggest use of talking books.
d. Provide headphones for listening to music.

otokexnaru · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
Diabetes increases risk of peripheral neuropathy, and it is hard to inspect one's own feet. Though socks that fit well are important, warmth is not the main issue. Glasses do not affect the onset of eye disorders, including macular degeneration. The sensory deficit regarding perception of heat and cold is usually associated with the distal extremities.

Answer to Question 2

ANS: C
Talking books would provide a quick, short-term means of entertainment. Braille might be recommended as a long-term solution to visual deficits. The placement of the television is not helpful with low acuity, unless the patient has macular degeneration. Headphones may be nice, but the patient has a visual deficit and no indication that hearing is a problem.