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 D
Explanation
Choice A rationale
Administering packed RBCs is important but is not the highest priority. Stabilizing the client’s hemodynamic status is critical first.
Choice B rationale
Elevating the client's feet can help with blood circulation but does not address the immediate need to stabilize blood pressure and fluid volume.
Choice C rationale
Initiating a dopamine IV infusion can help with hypotension, but it is not the first action. Stabilizing the client with fluids is a higher priority.
Choice D rationale
Increasing the client's IV fluid rate is the highest priority to address hypotension and ensure adequate blood volume before administering blood products or other medications. .
Correct Answer is A
Explanation
Choice A rationale
Dysuria, or painful urination, is a common symptom of acute cystitis (bladder infection). Clients with acute cystitis often report burning sensations during urination and frequent urges to urinate.
Choice B rationale
Nasal congestion is not a symptom associated with acute cystitis. It is more commonly related to respiratory conditions like colds or allergies.
Choice C rationale
Joint pain is not related to acute cystitis. Joint pain can be associated with various musculoskeletal or autoimmune conditions, but not typically with a bladder infection.
Choice D rationale
Shortness of breath is not a symptom of acute cystitis. This symptom is more relevant to respiratory or cardiovascular conditions, not bladder infections.
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