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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale
Continuing to monitor the client's respiratory status is the appropriate action if fluctuation is observed in the suction control chamber. Fluctuations are expected and indicate that the system is functioning correctly.
Choice B rationale
Checking the suction control outlet on the wall is necessary if there are signs that the system is not functioning correctly, but fluctuation itself is not an indication of malfunction.
Choice C rationale
Checking the tubing connections for leaks is important if there is an air leak suspected. However, normal fluctuation does not suggest a leak.
Choice D rationale
Clamping the chest tube is generally avoided unless absolutely necessary as it can lead to the accumulation of air and tension pneumothorax.
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