Question

The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which equipment will the nurse need to perform this assessment?

A) Glucometer
B) Hammer
C) Nothing; the client is asked to walk
D) Paper clip

Answer 1

To assess sensory loss in a client with diabetes, a nurse would use a paper clip to test for sensory neuropathy. Other options like glucometers and hammers serve different assessment purposes, and walking doesn't specifically test sensory function.

Step-by-step explanation:

The nurse conducting an assessment of sensory loss in a client with diabetes mellitus would typically use a paper clip. This tool can be unfolded to create a point and a dull end, which are used to check for sensory neuropathy a possible complication of diabetes mellitus. This condition is due to damaged nerves and can lead to a loss of sensation, particularly in the extremities such as the feet.

By using the point and dull end of the paper clip, the nurse can assess sharp versus dull sensation in various areas. Comparing responses on different parts of the body can reveal areas with diminished sensation. This testing is essential since patients with diabetes are at risk of injury without proper sensation to alarm them.

A glucometer is used to measure blood glucose levels and is not specifically designed for sensory testing. A hammer is employed in reflex testing, not direct sensory assessment, and simply asking a client to walk does not provide information on specific sensory loss. Therefore, for a focused sensory assessment, a paper clip is the appropriate tool for the nurse to use.