The nurse is assessing a patient with type 2 diabetes mellitus. What questions should the nurse ask to determine the patient's risk for a lower extremity amputation?
Select all that apply.
1. "Do you use insulin or oral hypoglycemic agents?"
2. "What were your glycosylated hemoglobin values over the past year?"
3. "Do you have any problems with your eyes related to diabetes?"
4. "Do you have any problems with your kidney related to diabetes?"
5. "When were you first diagnosed with diabetes mellitus?"
Correct Answer: 2, 3, 4
The high incidence of foot problems and amputations in people with diabetes mellitus is the result of angiopathy, neuropathy, and infection. People with diabetes mellitus, especially those who not meeting recommended glycemic goals, are at high risk for amputation of a lower extremity. Age of diagnosis has no influence on the patient's risk of needing an amputation in the future.
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