An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.

Skin condition of lower extremities.

Sensation in feet and legs.

Visual acuity.

Signs of respiratory tract infection.

Serum creatinine and blood urea nitrogen (BUN).

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason:

The correct answer is a) because checking the skin condition of the lower extremities helps identify complications like diabetic ulcers.

Choice B reason:

The correct answer is b) because assessing sensation in feet and legs helps detect neuropathy, a common complication of diabetes.

Choice C reason:

The correct answer is c) because visual acuity checks help identify diabetic retinopathy.

Choice D reason: Signs of respiratory tract infection are important but not specific to long-term complications of diabetes.

Choice E reason:

The correct answer is e) because serum creatinine and BUN levels help assess kidney function and identify nephropathy.

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Correct Answer is B

Explanation

Choice A reason: Avoiding driving is important but not the most critical instruction.

Choice B reason:

The correct answer is b) because drinking plenty of water helps flush the bladder, reduce the risk of infection, and prevent blood clots.

Choice C reason: Eliminating spicy foods may help with overall comfort but is not as important as maintaining proper hydration.

Choice D reason: Clamping the catheter during a shower is not necessary and could cause complications.

A. Auscultate bowel sounds. B. Ambulate the client in the hallway. C. Palpate the abdomen. D. Measure hourly urine output.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because auscultating bowel sounds can help assess for the return of gastrointestinal function and identify potential complications such as ileus, which can cause abdominal pressure and nausea.

Choice B reason: Ambulating the client is important for postoperative recovery but does not directly address the symptoms of abdominal pressure and nausea.

Choice C reason: Palpating the abdomen is also important but should be done after auscultation to avoid altering bowel sounds.

Choice D reason: Measuring urine output is important for monitoring renal function but does not directly address the symptoms of abdominal pressure and nausea.

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An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Following a transurethral resection of the prostate (TURP), a client is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?

Correct Answer is B

Explanation

Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

Correct Answer is A

Explanation

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse instruct the client to follow when collecting a sputum sample?

An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.

When explaining dietary guidelines to a client with acute glomerulonephritis (AGN), which instruction should the nurse include in the dietary teaching?

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