The nurse notes that the client with diabetes mellitus in his ...

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The nurse notes that the client with diabetes mellitus in his care has some edema in both lower extremities. The client also has a small open lesion on her right great toe.
 
  The nurse understands that this is a complication of diabetes mellitus and will additionally assess the client's sensation to light touch, pinprick, and temperature to determine if she has which of the following condi-tions? a. Glaucoma
  b. Psoriasis
  c. Neuropathy
  d. Dermatitis

Question 2

In anticipation of a nursing shortage, the nursing management in a facility is investigating a nursing care delivery model that involves staff members working under the direction of a regis-tered nurse leader. What is this model called?
 
  a. Team nursing
  b. Primary nursing
  c. Functional nursing
  d. Total patient care

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Answer to Question 1

C
Palpation of the dorsalis pedis and posterior tibial pulses indicates whether adequate blood flow is reaching peripheral tissues. Edema and changes in skin colour, texture, and temperature indi-cate whether the client requires special hygienic care. Persons with diabetes mellitus should also be checked for neuropathy, the degeneration of the peripheral nerves characterized by a loss of sensation. The nurse should assess the client's sensation to light touch, pinprick, and temperature.
Glaucoma is diagnosed by an eye examination (conducted by an optometrist) that measures in-traocular pressure.
Psoriasis is a skin condition.
Dermatitis is a skin condition.

Answer to Question 2

A
In team nursing, an RN leads a team that is composed of other RNs, RPNs or LPNs, and unregu-lated care providers (UCPs). The team members provide direct client care to groups of clients, under the direction of the RN team leader.
Primary nursing is a model of care delivery whereby an RN assumes responsibility for a caseload of clients over time. Typically the RN selects the clients for his or her caseload and cares for the same clients during their hospitalization or stay in the health care setting.
Functional nursing is task-focused, not client-focused. In this model, tasks are divided, with one nurse assuming responsibility for specific tasks.
Total patient care is a model of care in which an RN is responsible for all aspects of care for one or more clients. The RN may delegate aspects of care, but retains accountability for care of all assigned clients.

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