An older diabetic patient has impaired mobility and decreased vision. The nurse examines the patient's feet at each clinical visit. The patient asks why this is necessary. What response by the nurse is best?
a. "It's part of our diabetic clinic visit pro-tocol."
b. "You may not be able to see a sore on your feet."
c. "Limited mobility may keep you from checking your feet.
d. "You may get an ulcer and not be able to feel it."
D
A diabetic with peripheral neuropathy may not be able to feel injuries on the feet. The injury may progress to a nonhealing ulcer requiring amputation. If the patient had good sensation to the feet, not being able to see or limited mobility would not be as big of a barrier because the patient could report the symptoms. Foot assessment is part of a diabetic clinic protocol.
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