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?"

Answer and Explanation

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).

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Correct Answer is B

Explanation

A. Omitting the KCL dose would be inappropriate, as the client's potassium level is low and requires correction.
B. A potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L), and administering the prescribed potassium supplement is appropriate to prevent symptoms of hypokalemia.
C. There is no need to hold the dose and notify the provider, as the KCL is prescribed to correct low potassium levels.
D. The lab results do not need to be verified unless there is suspicion of error, as 3.0 mEq/L is consistent with hypokalemia requiring treatment.

A. Low back pain B. Incontinence C. Urinary retention D. Confusion

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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Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.0 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative and whose respirations are shallow and 8/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?

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Before the client starts taking phenazopyridine hydrochloride (Pyridium), she should be taught about which of the drugs side effects?

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

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A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?