A nurse is caring for a client who has developed diseases of large and medium-sized blood vessels because of diabetes. Which of the following should the nurse anticipate if the client has cerebrovascular disease, cardiovascular disease, and peripheral vascular disease?
Macrovascular angiopathy
Diabetic nephropathy
Diabetic neuropathy
Microvascular angiopathy
The Correct Answer is A
A. Macrovascular angiopathy refers to damage in large and medium-sized vessels, which is associated with cerebrovascular, cardiovascular, and peripheral vascular disease in diabetic patients.
B. Diabetic nephropathy involves the kidneys, not the large or medium blood vessels.
C. Diabetic neuropathy affects nerves rather than blood vessels.
D. Microvascular angiopathy involves small vessels, typically affecting the eyes, kidneys, and nerves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes.
B. Hearing exams are not specifically indicated as part of annual diabetes care.
C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease.
D. Testing urine for microalbumin detects early signs of kidney damage.
E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.
Correct Answer is A
Explanation
A. Regular insulin is the only type of insulin approved for intravenous administration and is commonly used to treat diabetic ketoacidosis (DKA) for its rapid effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the acute management of DKA.
C. Insulin detemir is a long-acting insulin that does not act quickly enough for DKA.
D. Insulin glargine is also a long-acting insulin and is not suitable for immediate correction of DKA.
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