Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?
"Do you need to increase your insulin dosage when you are stressed?"
"Have you noticed any painful new ulcerations or sores on your feet?"
"Have you seen any skin changes?"
"Do you feel bloated after eating?"
The Correct Answer is D
A. This question assesses for glucose management under stress but does not specifically target autonomic neuropathy.
B. Painful ulcerations relate more to peripheral neuropathy rather than autonomic neuropathy.
C. Skin changes could be a result of diabetes but do not directly assess autonomic neuropathy.
D. Autonomic neuropathy can affect digestion, leading to symptoms such as bloating due to delayed gastric emptying (gastroparesis).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bright yellow urine is typical of well-hydrated individuals but is not expected after a prostatectomy.
B. Dark amber urine may indicate dehydration or concentrated urine, which is not the expected outcome post-surgery.
C. Bright red urine can indicate significant bleeding, which should be reported; however, some blood may be expected immediately after surgery.
D. Pale pink urine is a common and expected variation after a transurethral prostatectomy, indicating minor bleeding or irritation without significant risk.
Correct Answer is C
Explanation
A. Metabolic alkalosis would show a high HCO₃ level and elevated pH, which is not seen here.
B. Respiratory alkalosis would present with decreased PaCO₂ and elevated pH.
C. Metabolic acidosis is indicated by a low HCO₃ level (below 22 mEq/L) and low pH, consistent with the given values.
D. Respiratory acidosis would present with elevated PaCO₂ and a low pH, not shown in these results.
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