The nurse is assessing the feet of a client with type 1 diabetes mellitus. Which finding requires immediate intervention by the nurse?

A. Hard, painless nodule over the metatarsophalangeal joint of the first toe.
B. Erythema and edema at the base of the left great toe.
C. Decreased response to pain discrimination on the dorsal surface of the foot.
D. Painful corns and calluses over hammer toes on both feet.



Answer :

Final answer:

In a client with type 1 diabetes mellitus, erythema and edema at the base of the left great toe require immediate nursing intervention to prevent complications.


Explanation:

The finding that requires immediate intervention by the nurse is option B: Erythema and edema at the base of the left great toe. In a client with type 1 diabetes mellitus, these symptoms can indicate the presence of an infection that needs prompt attention to prevent further complications such as foot ulcers or gangrene.

Option A describes a possible bunion, Option C refers to neuropathy commonly seen in diabetic patients, and Option D outlines issues related to corns and calluses, which can be managed but are not as urgent as the symptoms described in Option B.


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