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 A
Explanation
A. Type 2 diabetes typically develops due to insulin resistance in the body’s cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
B. Kidney issues related to water reabsorption are not the cause of Type 2 diabetes. This response is inaccurate.
C. Infections in the pancreas are not a primary cause of Type 2 diabetes; rather, they are more likely associated with pancreatitis or other conditions.
D. Type 1 diabetes involves autoimmune destruction of insulin-producing cells, but Type 2 diabetes does not typically involve this autoimmune process.
Correct Answer is D
Explanation
A. Low back pain is a symptom that may indicate pyelonephritis but is not specific to older adults.
B. Incontinence can occur in UTIs but is common in older adults for various reasons and is not specific to a UTI.
C. Urinary retention is not a distinguishing feature of UTI in older adults.
D. Confusion or altered mental status is a common sign of UTI in older adults, often the primary symptom due to age-related changes in cognition.
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