A nurse is caring for a client with diabetes mellitus who has peripheral neuropathy. Which intervention would be most appropriate for this client?

Cyanosis of the lips and nail beds is a sign of hypoxemia, which indicates inadequate oxygenation of the blood. This is a potential complication of COPD, as the disease causes airflow obstruction and impaired gas exchange. Cyanosis requires immediate intervention to improve oxygen delivery and prevent tissue damage.

Incorrect options:

A) Barrel-shaped chest - This is a common finding in clients with COPD, as the disease causes hyperinflation of the lungs and increased anteroposterior diameter of the chest. It is not a sign of a complication, but rather a chronic adaptation to the disease.

B) Clubbing of the fingers - This is a possible finding in clients with COPD, as the disease causes chronic hypoxia and stimulation of vascular endothelial growth factor, leading to thickening and widening of the distal phalanges. It is not a sign of a complication, but rather a long-term effect of the disease.

D) Wheezes on auscultation - This is an expected finding in clients with COPD, as the disease causes narrowing of the airways and increased airway resistance. It is not a sign of a complication, but rather a characteristic manifestation of the disease.

The client with peripheral neuropathy should inspect their feet daily for any injuries or infections, as they may have reduced sensation and pain perception in their lower extremities. This can lead to delayed detection and treatment of wounds, ulcers, or infections, which can result in serious complications such as gangrene and amputation.

Incorrect options:

A) Applying heating pads to the affected areas - This is not an appropriate intervention, as heating pads can cause burns or skin damage in clients with peripheral neuropathy, who may not feel the heat or pain. The client should avoid exposing their feet to extreme temperatures and use warm water instead of hot water for bathing.

B) Massaging the affected areas with lotion - This is not an appropriate intervention, as massaging can cause friction or injury to the affected areas, especially if there are any open wounds or ulcers. The client should apply moisturizer to their feet after bathing, but avoid applying it between the toes, where fungal infections can occur.

D) Wearing tight-fitting socks and shoes - This is not an appropriate intervention, as tight-fitting socks and shoes can impair circulation and cause pressure ulcers or blisters in the affected areas. The client should wear well-fitting, comfortable, and protective footwear, and change their socks daily.