Answer to Question 1
A
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A Correct. The older adult is potentially experiencing a peripheral neuropathy from peripheral nerve damage from hyperglycemia. To prevent trauma to the feet, the nurse instructs him to wear comfortable, well-fitting, tie-on shoes with a broad toe space and low heels for protection.
B Incorrect. Nylon stockings for men tend to have restrictive ends that can inhibit tissue perfusion, and because he is at risk for peripheral tissue damage, the con-stricted area can break down. The nurse also instructs him to avoid sitting with one leg crossed over the other or with legs both legs crossed at the knee, because these positions restrict blood flow to the feet.
C Incorrect. Foot soaks potentially cause excessive dryness. To maintain skin in-tegrity, feet should be washed daily but not soaked daily.
D Incorrect. Irritating chemicals such as antifungal powder and corn or wart prep-arations should not be used on the feet of diabetic individuals.
Answer to Question 2
D
A shared responsibility of the sending and the receiving nurses or care team is to regard the tran-sition as a transfer versus a discharge and to provide continuous and consistent nursing care throughout the transfer phase. To accomplish this, the two nurses or groups must have clear, comprehensive communication. The receiving nurse incorporates patient goals into the plan. The sending nurse ensures that the patient is stable for the transfer to prevent decompensation during the trip or shortly after arrival at the new facility. The sending nurse is responsible for providing clear, comprehensive, and complete patient documentation.
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