The nurse is discussing macrovascular complications of diabetes with a client. The nurse would address what topic during this dialogue?

The need to monitor urine for the presence of albumin

The relationship between kidney function and blood glucose levels

The need for frequent eye examinations for clients with diabetes

The fact that clients with diabetes have an elevated risk of myocardial infarction

Answer and Explanation

The Correct Answer is D

A. The need to monitor urine for the presence of albumin:
Explanation: Monitoring urine for albumin is more associated with microvascular complications, particularly diabetic nephropathy. When the kidneys are affected, albumin may leak into the urine. This is not a macrovascular complication.

B. The relationship between kidney function and blood glucose levels:
Explanation: The relationship between kidney function and blood glucose levels is important, but it is more directly related to microvascular complications, particularly diabetic nephropathy. High blood glucose levels over time can damage the small blood vessels in the kidneys.

C. The need for frequent eye examinations for clients with diabetes:
Explanation: This is related to microvascular complications, specifically diabetic retinopathy. Changes in the small blood vessels of the retina can lead to vision problems. While important, it's not directly addressing macrovascular complications.

D. The fact that clients with diabetes have an elevated risk of myocardial infarction:
Explanation: This is the correct answer. Macrovascular complications involve large blood vessels and are associated with conditions such as coronary artery disease, which increases the risk of myocardial infarction in individuals with diabetes.

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Correct Answer is B

Explanation

A. Leukemia:
Explanation: Leukemia is a cancer of the blood-forming tissues, including the bone marrow and lymphatic system. It typically presents with an abnormal increase in white blood cells. While fatigue can be a symptom, increased bilirubin concentration and an increased reticulocyte count are not typical findings in leukemia.

B. Hemolytic Anemia:
Explanation: Hemolytic anemia is characterized by the premature destruction of red blood cells, leading to an increased release of bilirubin (from the breakdown of hemoglobin) and an increased reticulocyte count (as the body attempts to compensate by producing more red blood cells). This is a likely possibility given the presented symptoms.

C. Hypoproliferative Anemia:
Explanation: Hypoproliferative anemia is characterized by a decreased production of red blood cells. It is unlikely in this scenario, as an increased reticulocyte count suggests an attempt by the bone marrow to increase red blood cell production.

D. Thrombocytopenia:
Explanation: Thrombocytopenia is a condition characterized by a low platelet count. It does not typically present with an increased bilirubin concentration or an increased reticulocyte count.

A. "I have difficulty breathing when walking 30 feet." B. "I feel hot all of the time." C. "I have a difficult time falling asleep at night." D. "I have an increase in my appetite."

Correct Answer is A

Explanation

A. "I have difficulty breathing when walking 30 feet":
Explanation: Difficulty breathing on exertion (dyspnea) is a common symptom of iron-deficiency anemia. This is because iron is a crucial component of hemoglobin, which carries oxygen to body tissues. In the absence of sufficient iron, the oxygen-carrying capacity of the blood is reduced, leading to symptoms such as shortness of breath.

B. "I feel hot all of the time":
Explanation: Feeling hot all the time is not a typical symptom of iron-deficiency anemia. Anemia is more likely to cause symptoms related to poor oxygen delivery, such as fatigue and shortness of breath.

C. "I have a difficult time falling asleep at night":
Explanation: Difficulty falling asleep is not a classic symptom of iron-deficiency anemia. Symptoms are more likely to be related to fatigue and weakness.

D. "I have an increase in my appetite":
Explanation: An increase in appetite is not a typical symptom of iron-deficiency anemia. In fact, individuals with anemia may experience a decrease in appetite.

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The nurse is discussing macrovascular complications of diabetes with a client. The nurse would address what topic during this dialogue?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client comes into the clinic complaining of fatigue. Blood work shows an increased bilirubin concentration and an increased reticulocyte count. What would the nurse suspect the patient has?

Correct Answer is B

Explanation

The nurse is collecting data for a client who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia?

Correct Answer is A

Explanation

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The nurse is monitoring a client who was diagnosed with Type 1 Diabetes Mellitus and is being treated with NPH and regular insulin. Which manifestations alert the nurse to the presence of a possible hypoglycemic reaction? (SELECT ALL THAT APPLY)

A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states what?

A client with chronic kidney disease has chronic anemia. What pharmacologic alternative to blood transfusion may be used for this patient?

A client has been brought to the emergency department by paramedics after being found unconscious. The client's Medic Alert bracelet indicates that the client has type 1 diabetes and the client's blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention?

A patient has the following blood gases: PaCO2 33, pH 7.50, HCO3 23. Which of the following could NOT be the cause of this condition?

A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?