The nurse is reinforcing teaching for a client who has type 2 ...

[olgavictoria]

The nurse is reinforcing teaching for a client who has type 2 diabetes mellitus. The nurse should instruct the client regarding the appropriate foot care because:
 
  1. the client is at risk for renal failure.
  2. the client experiences low blood sugar too often.
  3. due to high blood sugar and reduced circulation, foot wounds do not heal well.
  4. due to frequent bouts of hyperosmolar hyperglycemic state (HHS), the client experiences low blood sugars, which impairs circulation.

Question 2

The nurse is planning care for a 28-year-old client with diabetes who has a nursing diagnosis of Risk for Injury. Which intervention should be planned for this diagnosis?
 
  1. Not allow the client to ambulate alone
  2. Instruct the client to wear shoes or slippers at all times.
  3. Cross the legs at the ankles, not the knees.
  4. Apply lotion to the feet, particularly between the toes.

[Melissahxx]

Answer to Question 1

Answer: 3

1. The risk of renal failure does not cause decreased healing.
2. Most diabetics do not experience decreased blood sugar very often.
3. High blood levels of glucose and the resulting decreased peripheral circulate make it imperative that the diabetic pay close attention to the feet, as wounds do not heal well.
4. The cause of HHS is high, not low, blood sugar.

Answer to Question 2

Answer: 2

1. A 28-year-old can ambulate alone if the nurse determines the client is not experiencing dizziness as a side effect of medication.
2. The client should be instructed to wear shoes or slippers at all times when out of bed to prevent injuries to the feet.
3. The client with diabetes should be taught not to cross the legs at all due to decreased peripheral vascular circulation.
4. Lotion between the toes can cause fungal infections, and is not a method to prevent injury.