Final answer:
The nurse should clarify with the provider for a prescription for pain management that will not negatively impact blood sugar control.
Step-by-step explanation:
The nurse should clarify with the provider for a prescription for pain management to address the client's severe ankle pain. Since the client has type 1 DM, it is important to choose a pain medication that will not negatively impact blood sugar control. The nurse can suggest options such as non-opioid analgesics, like acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) if there are no contraindications, as they do not typically affect blood sugar levels.