The nurse instructs a client with type 2 diabetes mellitus ...

[darbym82]

The nurse instructs a client with type 2 diabetes mellitus regarding foot care. In addition to keeping the feet clean and dry, the nurse may also offer which additional advice?
 
  1. Walk on bare feet to promote circulation.
  2. Wear nylon socks to keep your feet warm.
  3. Wear open-toe shoes to avoid pressure around toenails.
  4. File your toenails straight across. Avoid using scissors.

Question 2

The nurse suspects that a client should be evaluated for diabetes mellitus. What risk factors did the nurse assess to make this clinical determination? (Select all that apply.)
 
  1. Has a body mass index of 40
  2. Triglyceride level 325 mg/dL
  3. Mother has type 2 diabetes mellitus
  4. Serum potassium level is 4.2 mEq/L
  5. Has a blood pressure of 156/88 mm Hg

[parshano]

Answer to Question 1

Answer: 4

1. People with diabetes should never go barefoot.
2. Cotton or wool socks allow perspiration to dry.
3. Feet should be covered completely with well-fitting, comfortable shoes.
4. Cutting nails straight across avoids ingrown nails.

Answer to Question 2

Answer: 1, 2, 3, 5

1. Routine screen for diabetes mellitus should be conducted for anyone that is obese.
2. Routine screen for diabetes mellitus should be conducted for anyone that has a triglyceride level greater than 250 mg/dL.
3. Routine screen for diabetes mellitus should be conducted for anyone that has a first-degree relative with diabetes.
4. Serum potassium level is not used to predict the development of diabetes mellitus.
5. Routine screen for diabetes mellitus should be conducted for anyone that has a blood pressure of 140/90 mm Hg or greater.

[darbym82]

Thank you

[parshano]

No problemo