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. Furosemide, a diuretic, is more likely to cause hypotension, not hypertension, due to fluid loss.
B. Furosemide is used to treat hypervolemia, so it does not cause hypervolemia.
C. Hypoglycemia is not a common adverse effect of furosemide; it primarily affects electrolytes.
D. Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.
Correct Answer is D
Explanation
A. Soaking feet regularly is not advised as it can lead to skin breakdown and increases the risk of infection, especially in diabetic patients.
B. Applying lotion between the toes is discouraged because moisture in this area can promote fungal infections.
C. Wearing sandals is fine, but the type of footwear should be considered carefully to avoid injury.
D. Checking feet daily for sores and bruises is essential for diabetes management, as individuals with diabetes have a higher risk of foot complications due to reduced sensation and circulation.
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