nurse providing teaching client type diabetes mellitus peripheral neuropathy

The nurse is providing teaching to a client with type 2 diabetes mellitus and peripheral neuropathy

The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral neuropathy . Which Information should the nurse provide ? А Shoes should be wom outside the house , but it is fine to be barefoot inside B Family members can help with regular foot exams Heating pads are useful if on the lowest setting D Aching feet may be soaked in lukewarm water for one hour or more

Answer & Explanation

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B, Family members can help with regular foot exams. Assessing the patient's disease management in order to try to prevent foot problems from happening  by the help of family members through  examining the feet for any cuts or open sores. Look for redness, warmth, or soreness, as well as dry, cracked skin. If anything is discovered, contact your doctor. Instruct the patient not to treat any corns or calluses on his or her own. 

Encourage the use of well-fitting, comfortable shoes that enable the feet to breathe while providing enough support.

The patient's feet should be washed, dried, and moisturized. When you are doing so make sure the water is not too hot and properly dry the feet. Lotion can be used on dry skin, but it should be avoided in the areas between the toes to avoid excessive wetness.

Toenails should be trimmed straight across. Cutting into the corners is not a good idea. Instruct the patient to have their  family take care of  them if they can not do it on their own.
Ensure that the patient change  socks on a regular basis and it  should be loose fitting and made of natural fibers.

Protect the patient's feet against extremes of heat and cold. Tell the patient to stay away from heating pads and to verify the temperature of the water with his or her palm or elbow before putting his or her foot in.

Tell the patient that he or she should not walk barefoot.

Step-by-step explanation

References;

Ahrary, Z., Khosravan, S., Alami, A., & Najafi Nesheli, M. (2020). The effects of a supportive-educational intervention on women with type 2 diabetes and diabetic peripheral neuropathy: a randomized controlled trial. Clinical rehabilitation, 34(6), 794-802.

What information should be included when teaching a patient with diabetes about foot care?

Diabetes Foot Care Guidelines.
Inspect your feet daily. ... .
Bathe feet in lukewarm, never hot, water. ... .
Be gentle when bathing your feet. ... .
Moisturize your feet but not between your toes. ... .
Cut nails carefully. ... .
Never treat corns or calluses yourself. ... .
Wear clean, dry socks..

Which clinical manifestations of hypoglycemia would the nurse include when teaching a patient with diabetes?

Hypoglycemia is a condition occurring in diabetic patients with a blood glucose of less than 4 mmol/L..
Cold, clammy skin..
Weakness, faintness, tremors..
Headache, irritability, dullness..
Hunger, nausea..
Tachycardia, palpitations..

Which distinguishing characteristic would the nurse associate with type 1 diabetes mellitus?

The distinguishing characteristic of a patient with type 1 DM is that if his or her insulin is withdrawn, ketosis and eventually ketoacidosis develop.

Which laboratory values should the nurse expect in a patient with diabetic ketoacidosis?

Diabetic ketoacidosis is typically characterized by hyperglycemia over 250 mg/dL, a bicarbonate level less than 18 mEq/L, and a pH less than 7.30, with ketonemia and ketonuria.

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