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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Glycosylated hemoglobin A1C provides an average of the patient's blood glucose levels over the past 2-3 months and is the standard test used to evaluate long-term glycemic control in patients with diabetes.
B. A urine dipstick for glucose measures glucose in the urine but does not provide an accurate assessment of overall blood glucose control or effectiveness of treatment.
C. Fasting blood glucose is useful for assessing current blood sugar levels but does not reflect long-term management or control.
D. An oral glucose tolerance test is typically used for diagnosing diabetes rather than for ongoing monitoring of treatment effectiveness.
Correct Answer is ["A","B","D","E"]
Explanation
A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow.
B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon.
C. The amount of irrigation fluid is usually subtracted from the total output to determine true urine output, not added.
D. Using sterile technique helps prevent infection in a postoperative patient.
E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.
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