A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. What is the nurse’s primary responsibility 2 days after surgery when preparing the client to eat dinner?
ExplanationA. Because the client has type 1 diabetes, it is essential that the blood glucose level be determined before meals to evaluate the level of control of diabetes and the possible need for insulin coverage.
B. To prevent flexion contractures of the hip, the client should not sit for a prolonged time. This is not the priority.
C. Raising the head of the bed flexes the hips, which may result in hip flexion contractures. This is not the priority.
D. This may result in a hip flexion contracture and should be avoided.