The nurse is planning care for a client with diabetes who is prescribed lifelong therapy for adrenal ...

Correct Answer: 2
Rationale 1: Cutting the toenails straight across is appropriate for the client with diabetes.
Rationale 2: A client with diabetes might have peripheral neuropathy. The addition of corticosteroids can prolong wound healing if a wound develops from friction of the shoe against bare skin.
Rationale 3: A client with diabetes starting therapy with corticosteroids might have marked changes in blood glucose values, and a diary of this information should be maintained.
Rationale 4: The client should call the health care provider to report illness or injury. An increased dose of corticosteroid could be indicated.
Global Rationale: A client with diabetes might have peripheral neuropathy. The addition of corticosteroids can prolong wound healing if a wound develops from friction of the shoe against bare skin. Cutting the toenails straight across is appropriate for the client with diabetes. A client with diabetes starting therapy with corticosteroids might have marked changes in blood glucose values, and a diary of this information should be maintained. The client should call the health care provider to report illness or injury. An increased dose of corticosteroid could be indicated.