An 80-year-old patient is being discharged after he was diagnosed with diabetes mellitus and retinopathy
His daughter has been part of the discharge instruction process. Understanding of the instructions is evident when the daughter says which of the following?
a. "I will make sure that Dad always wears warm socks."
b. "Dad needs to wear his glasses so he can delay the onset of macular degeneration."
c. "I will ask the home health aide to carefully inspect Dad's feet every day when she helps him bathe."
d. "We will give him only warm foods, so that he doesn't burn his mouth."
ANS: C
Diabetes increases risk of peripheral neuropathy, and it is hard to inspect one's own feet. Though socks that fit well are important, warmth is not the main issue. Glasses do not affect the onset of eye disorders, including macular degeneration. The sensory deficit regarding perception of heat and cold is usually associated with the distal extremities.
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