A nurse is providing discharge teaching about blood glucose monitoring for a client who has a new diagnosis of type 2 diabetes mellitus.

The nurse should instruct the client to obtain which of the following supplies?

“You should ask your provider about your plan.” The client has expressed a preference for trying vitamins and minerals instead of chemotherapy.
The nurse should encourage the client to discuss their treatment plan with their provider to ensure that they receive the most appropriate care.
Choice B is not the correct answer because while it is important for the client to be informed about their treatment options, the nurse’s primary responsibility is to encourage the client to discuss their concerns with their provider.
Choice C is not the correct answer because it is not within the nurse’s scope of practice to make definitive statements about the effectiveness of holistic treatments.
Choice D is not the correct answer because it is not within the nurse’s scope of practice to make definitive statements about the best way to treat cancer.

The correct answer is: b. “I apply a lubricating lotion to the cracked areas on the soles of my feet every morning.”

Choice A reason: Elevating the feet for long periods is not generally recommended for clients with Peripheral Arterial Disease (PAD). This is because elevation can decrease arterial blood flow to the feet, which is already compromised in PAD. The goal is to promote blood flow to the extremities, and elevation might work against this, especially if done for extended periods.

Choice B reason: Applying a lubricating lotion to the feet, particularly on the soles where the skin can become very dry and cracked, is beneficial for someone with PAD. It helps to maintain skin integrity and prevent skin breakdown, which can lead to serious complications due to the reduced blood flow and healing capacity in PAD.

Choice C reason: Soaking the feet in hot water is not advisable for individuals with PAD. They may have reduced sensation in their feet due to poor circulation, which increases the risk of burns from hot water. Additionally, prolonged soaking can lead to maceration of the skin, making it more susceptible to injury and infection.

Choice D reason: Using a heating pad, even on a low setting, to keep the feet warm is risky for clients with PAD. Due to decreased sensation from poor circulation, there is a danger of burns because the client may not feel how hot the heating pad is. It’s better to wear warm socks or use room temperature control to keep the feet warm.