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. Pulling back on the plunger after injecting insulin is incorrect and could cause the medication to leak out, leading to inadequate dosing.
B. Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.
C. Massaging the injection site is not recommended as it can cause the insulin to absorb too quickly and lead to variable blood sugar levels.
D. Each syringe should only be used once to prevent contamination and ensure accurate dosing.

Correct Answer is ["100"]

Explanation

To calculate the manual IV infusion rate in drops per minute (gtt/min) when using microtubing, you can use the following formula: IV Drip Rate (gtt/min) = (Volume to be infused (mL) x Drop factor (gtt/mL)) / Time (min). Since microtubing typically has a drop factor of 60 gtt/mL, and the nurse is looking to infuse 1L (1000 mL) of solution at a rate of 100 mL/hr, the time to infuse 100 mL would be 60 minutes. Plugging these values into the formula gives: IV Drip Rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min, which simplifies to 100 gtt/min. Therefore, the nurse should set the manual IV infusion to deliver 100 gtt/min.

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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 teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1L to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

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