The nurse is assessing a patient who has a diagnosis of diabetes mellitus
Which questions would be most important to help determine the patient's risk for amputation of a lower extremity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 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 kidneys related to diabetes?"
5. "When were you first diagnosed with diabetes mellitus?"
2,3,4,5
Rationale 1: The treatment of the diabetes is not a risk factor.
Rationale 2: Poor glucose control is a risk factor for lower extremity ulcers and amputation.
Rationale 3: Patients with retinal complications of diabetes have a higher risk for lower extremity amputation.
Rationale 4: Patients with renal complications of diabetes have a higher risk for lower extremity amputation.
Rationale 5: Patients diagnosed with DM for over 10 years are at higher risk for lower extremity amputation.
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