A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?

Retinopathy

Neuropathy

Radiculopathy

Nephropathy

Answer and Explanation

The Correct Answer is B

A. Retinopathy involves the retina and is detected through eye exams, not monofilament testing.
B. Neuropathy is the correct answer, as monofilament testing assesses sensation loss in peripheral neuropathy.
C. Radiculopathy relates to nerve root issues in the spine, not typically assessed with monofilaments.
D. Nephropathy concerns kidney function and is not assessed via sensory testing in the extremities.

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Correct Answer is C

Explanation

A. An HbA1c of 10% is significantly elevated and suggests poor glycemic control.
B. An HbA1c of 8.5% is above the recommended target for most diabetic patients, indicating less than optimal control.
C. An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
D. An HbA1c of 7.8% is slightly elevated and may require adjustments in diabetes management.

A. "Pull back on the plunger after injecting the insulin." B. "Store the current bottle of insulin at room temperature." C. "Massage the injection site after removing the needle." D. "Use each syringe up to six times."

Correct Answer is B

Explanation

A. Pulling back on the plunger after injecting insulin is incorrect and could cause the medication to leak out, leading to inadequate dosing.
B. Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.
C. Massaging the injection site is not recommended as it can cause the insulin to absorb too quickly and lead to variable blood sugar levels.
D. Each syringe should only be used once to prevent contamination and ensure accurate dosing.

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A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?

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Explanation

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