Author Question: The nurse has been preparing the diabetic client with peripheral neuropathy for discharge. Which of ... (Read 44 times)

jon_i · **on:** Jul 23, 2018

The nurse has been preparing the diabetic client with peripheral neuropathy for discharge. Which of the following statements by the client indicates that they need additional teaching?

1. I need to see my podiatrist to have my toenails trimmed.
2. I will inspect my feet daily using a mirror to see all areas.
3. I should make sure my feet are thoroughly dry after my bath.
4. I will wear antiembolus stockings when I get home to prevent my ankles from swelling.

Question 2

The nurse notes that the client with diabetes mellitus that he is caring for 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:
1. Glaucoma
2. Psoriasis
3. Neuropathy
4. Dermatitis

braelync · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
Restrictive stockings should not be worn in order to decrease the risk of impeding circulation to the lower extremities. Clients with neuropathy is at risk for injury to their feet because of im-paired sensation. By examining all areas of the feet daily, the client can identify potential prob-lems early. Thoroughly drying the feet minimizes risk for fungal infections and skin breakdown.

Answer to Question 2

ANS: 3
Palpation of the dorsalis pedis and posterior tibial pulses indicates whether adequate blood flow is reaching peripheral tissues. Edema and changes in skin color, texture, and temperature indicate if the client requires special hygienic care. Also check persons with diabetes mellitus for neurop-athy, degeneration of the peripheral nerves characterized by a loss of sensation. Assess the cli-ent's sensation to light touch, pinprick, and temperature. Glaucoma is diagnosed by an eye ex-amination that measures intraocular pressure. Psoriasis and dermatitis are both skin conditions.