To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

A. Serum creatinine.

Urine for microalbuminuria.

Hearing (audio) exam.

Chest x-ray.

Monofilament testing of the foot.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale

Serum creatinine is assessed annually to evaluate kidney function, as diabetes can lead to nephropathy and renal impairment.

Choice B rationale

Urine for microalbuminuria is important to detect early kidney damage, which can occur in diabetic nephropathy.

Choice C rationale

Hearing (audio) exam is not a standard annual test for diabetic complications. Diabetes primarily affects the vascular system, kidneys, and nerves.

Choice D rationale

Chest x-ray is not routinely performed annually for diabetes management. It is used when there are specific indications such as respiratory symptoms.

Choice E rationale

Monofilament testing of the foot is conducted annually to detect diabetic neuropathy and prevent foot ulcers and infections.

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Correct Answer is B

Explanation

Choice A rationale

A complete blood count (CBC) can provide information about the client's overall health and presence of infection, but it does not specifically address the potential underlying cause related to the urinary system.

Choice B rationale

Urinalysis with culture is the most relevant diagnostic test for evaluating the underlying cause of fever, chills, and severe left costovertebral pain. These symptoms suggest a possible urinary tract infection or pyelonephritis, which can be confirmed with urinalysis and culture.

Choice C rationale

A chest X-ray would not be the priority in this scenario as the symptoms suggest a urinary tract issue rather than a respiratory problem. A chest X-ray is more useful for assessing lung conditions.

Choice D rationale

A CT scan of the abdomen and pelvis can be helpful in evaluating the extent of a urinary tract infection or identifying other causes of abdominal pain, but it is typically not the first-line diagnostic test. Urinalysis with culture is more specific for identifying urinary infections. .

A. "You should stop playing basketball, but you can swim instead.”. B. "Avoid triggers that cause an attack.”. C. "Use the peak expiratory flow meter once per week.”. D. "Take cromolyn sodium at the first sign of breathing difficulty.”.

Correct Answer is B

Explanation

Choice A rationale

While swimming can be less likely to trigger asthma attacks than some other sports, children with asthma should not necessarily stop playing basketball if it's something they enjoy. Proper management and understanding triggers are crucial.

Choice B rationale

Avoiding triggers that cause an asthma attack is a fundamental part of asthma management. Triggers can vary from person to person and may include allergens, smoke, cold air, and exercise.

Choice C rationale

The peak expiratory flow meter should be used regularly, typically twice a day, to monitor asthma control, not just once per week. Regular use helps identify worsening symptoms early.

Choice D rationale

Cromolyn sodium is a preventive medication and should be taken regularly as prescribed, not just at the first sign of breathing difficulty.

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To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

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