To monitor for complications in a patient with type II diabetes, the healthcare provider will write a prescription for the client to schedule which of the following tests at least annually? Select all that apply.
Monofilament testing
Hearing (audio) exam
Serum creatinine
Urine for microalbumin
Glycosylated hemoglobin A1C
Correct Answer : A,C,D,E
A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes.
B. Hearing exams are not specifically indicated as part of annual diabetes care.
C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease.
D. Testing urine for microalbumin detects early signs of kidney damage.
E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.
Nursing Test Bank
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Related Questions
Correct Answer is B
Explanation
A. Giving carbohydrates at 3:00 AM might prevent hypoglycemia temporarily but does not address the underlying issue.
B. Having a snack at bedtime helps prevent nighttime hypoglycemia, which can lead to rebound hyperglycemia, known as the Somogyi effect.
C. Increasing the insulin dose could exacerbate nocturnal hypoglycemia, worsening the Somogyi effect.
D. Doing nothing is inappropriate as the low 2:00 AM glucose level is a sign of the Somogyi effect.
Correct Answer is C
Explanation
A. An HbA1c of 10% is significantly elevated and suggests poor glycemic control.
B. An HbA1c of 8.5% is above the recommended target for most diabetic patients, indicating less than optimal control.
C. An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
D. An HbA1c of 7.8% is slightly elevated and may require adjustments in diabetes management.
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