Answer to Question 1
3. Make an appointment with a podiatrist.
Rationale:
The toenails of the client with diabetes require close care. If the nails are thick or ingrown, they require the attention of a podiatrist. Cutting the nails across after the bath is correct for toenails that do not demonstrate the complications listed. The client with diabetes is at an increased risk for infection and should avoid situations in which this risk is increased, such as the nail shop pedicure. The nurse should not cut the nails of the client.
Answer to Question 2
1. Complete blood count
2. Coagulation studies
Rationale:
The complete blood count (CBC) is performed to evaluate red blood cells, hemoglobin, and hematocrit, as well as the platelet count. When the lab values of the CBC are low, this is associated with bleeding. Albumin levels are obtained to reflect liver impairment. Ammonia levels are obtained to determine liver function; elevated ammonia levels are due to the liver's inability to convert ammonia to urea for renal excretion. When liver functions are elevated, they reflect liver impairment.
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Client on IV patient-controlled analgesia (PCA).
Symptoms of diabetes
Example of simplified note for one-time client.
Testing the client’s ability to feel vibrations, the toe
A GWAS study for Type 2 diabetes revealed 386,371 genetic markers, clustered here by chromosome numb