When assessing a 65-year-old patient with diabetes, which of the following assessment findings requires notification of the health care provider?
1. Cool, mottled discoloration of right great toe
2. Blood glucose value of 70 mg/dL prior to patient eating breakfast
3. Patient states he cannot read teaching materials without eyeglasses
4. Brown discoloration over medial malleous
Cool, mottled discoloration of right great toe
Rationale: Cool, mottled skin indicates poor blood flow and indicates underlying atherosclerotic disease. Blood glucose of 70 mg/dL is normal. A 65-year-old patient is expected to have presbyopia with lack of accommodation and needs reading glasses. Brown discoloration is symptomatic of venous, not arterial, insufficiency.
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