A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?
Retinopathy
Neuropathy
Radiculopathy
Nephropathy
The Correct Answer is B
A. Retinopathy involves the retina and is detected through eye exams, not monofilament testing.
B. Neuropathy is the correct answer, as monofilament testing assesses sensation loss in peripheral neuropathy.
C. Radiculopathy relates to nerve root issues in the spine, not typically assessed with monofilaments.
D. Nephropathy concerns kidney function and is not assessed via sensory testing in the extremities.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Respiratory acidosis occurs due to hypoventilation, which causes an accumulation of carbon dioxide in the blood, leading to increased acidity. Shallow respirations at a rate of 8 breaths per minute indicate hypoventilation, putting the client at risk for respiratory acidosis.
B. Metabolic acidosis is typically caused by metabolic issues such as kidney failure or diabetic ketoacidosis, not by respiratory changes.
C. Respiratory alkalosis results from hyperventilation, which leads to a decrease in carbon dioxide levels, causing alkalinity in the blood.
D. Metabolic alkalosis is caused by factors such as prolonged vomiting or diuretic use, not by hypoventilation.
Correct Answer is B
Explanation
A. Giving carbohydrates at 3:00 AM might prevent hypoglycemia temporarily but does not address the underlying issue.
B. Having a snack at bedtime helps prevent nighttime hypoglycemia, which can lead to rebound hyperglycemia, known as the Somogyi effect.
C. Increasing the insulin dose could exacerbate nocturnal hypoglycemia, worsening the Somogyi effect.
D. Doing nothing is inappropriate as the low 2:00 AM glucose level is a sign of the Somogyi effect.
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