A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus

Graham crackers

After establishing that the client has hypoglycemia, the nurse should give the client about 15 g of a rapid-acting, concentrated carbohydrate, such as 4 oz of fruit juice, 8 oz of skim milk, 3 tsp of sugar or honey, 3 graham crackers, or commercially prepared glucose tablets. The nurse should recheck the client's blood glucose level in 15 minutes.

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.

How do you manage a patient with type 2 diabetes?

Treatment.
Healthy eating..
Regular exercise..
Weight loss..
Possibly, diabetes medication or insulin therapy..
Blood sugar monitoring..

Which treatment should you expect in a critically ill type 2 diabetes?

The American Diabetes Association recommends starting insulin in patients with persistent hyperglycemia above 180 mg/dL in critically ill patients, and to maintain the glycemic range between 140-180 mg/dL.

What are the parameters for type 2 diabetes?

Type 2 Diabetes ADA Diagnosis Criteria A fasting plasma glucose (FPG) level of 126 mg/dL (7.0 mmol/L) or higher, or. A 2-hour plasma glucose level of 200 mg/dL (11.1 mmol/L) or higher during a 75-g oral glucose tolerance test (OGTT), or.

What should you do if a client has suspected hyperglycemia?

If you suspect hypoglycemia, instruct the patient to check blood glucose. If the result is lower than 70 mg/dL (3.9 mmol/L), instruct the patient as follows: Consume 15 g of fast-acting carbohydrates, such as 4 ounces of juice or regular soda (NOT diet), 1 tablespoon of jelly or sugar, or 3 glucose tablets.