The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

An allergy to sulfa drugs.

Cessation of smoking three years ago.

Numbness in the soles of the feet.

A history of obesity.

Answer and Explanation

The Correct Answer is A

Choice A rationale: An allergy to sulfa drugs is important as some diabetes medications, like sulfonylureas, contain components related to sulfa drugs, which could cause an allergic reaction in susceptible individuals.

Choice B rationale: Smoking cessation and lifestyle history are important but might not directly impact initial diabetes treatment options.

Choice C rationale: Numbness in the soles of the feet might indicate neuropathy, a common complication of diabetes, but is not directly related to the choice of initial treatment.

Choice D rationale: While obesity is a risk factor for Type 2 diabetes, it's less critical for immediate treatment decisions compared to drug allergies that could impact medication choices.

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Correct Answer is B

Explanation

Choice A rationale: These side effects are not related to spironolactone use.

Choice B rationale: These are common side effects of spironolactone, as it causes potassium retention and sodium loss.

Choice C rationale: These side effects are not related to spironolactone use.

Choice D rationale: These side effects are not related to spironolactone use.

A. a client with nausea, vomiting, and abdominal pain B. a client with chest tightness and heartburn C. a client with facial drooping and left-sided weakness D. a client with fatigue, fever, and productive cough

Correct Answer is C

Explanation

Choice A rationale: A client with nausea, vomiting, and abdominal pain may have gastroenteritis, food poisoning, or appendicitis, which are not directly related to the eyes.

Choice B rationale: A client with chest tightness and heartburn may have gastroesophageal reflux disease (GERD), angina, or myocardial infarction (MI), which are also not associated with the eyes.

Choice C rationale: A client with facial drooping and left-sided weakness may have a stroke, which is a medical emergency that requires immediate attention. An eye examination can help detect signs of stroke, such as pupil asymmetry, visual field defects, or eye movement abnormalities. A stroke can cause permanent brain damage or death if not treated promptly.

Choice D rationale: A client with fatigue, fever, and productive cough may have a respiratory infection, such as pneumonia or tuberculosis, which are unlikely to affect the eyes unless there is a systemic complication.

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The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

Nursing Test Bank

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