The nurse is planning care for a 28-year-old client with diabetes who has a nursing diagnosis of Risk for Injury. Which intervention should be planned for this diagnosis?
1. Not allow the client to ambulate alone
2. Instruct the client to wear shoes or slippers at all times.
3. Cross the legs at the ankles, not the knees.
4. Apply lotion to the feet, particularly between the toes.
Answer: 2
1. A 28-year-old can ambulate alone if the nurse determines the client is not experiencing dizziness as a side effect of medication.
2. The client should be instructed to wear shoes or slippers at all times when out of bed to prevent injuries to the feet.
3. The client with diabetes should be taught not to cross the legs at all due to decreased peripheral vascular circulation.
4. Lotion between the toes can cause fungal infections, and is not a method to prevent injury.
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