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: Teaching the client to use pursed lip breathing is helpful for managing breathing difficulties, but it is not the first action to address exercise-induced bronchoconstriction.

Choice B reason:

The correct answer is b) because determining if the client is using an inhaler before exercising is crucial to prevent bronchoconstriction and manage asthma symptoms effectively.

Choice C reason: Assessing for signs and symptoms of upper airway infection is important but is not directly related to exercise-induced bronchoconstriction.

Choice D reason: Reviewing the client's routine asthma management prescriptions is important but should come after addressing the immediate concern of exercise-induced symptoms.

A. Skull radiography. B. Magnetic resonance imaging (MRI). C. Computerized tomography (CT) scan. D. Lumbar puncture.

Correct Answer is D

Explanation

Choice A reason: Skull radiography is not typically used to diagnose bacterial meningitis.

Choice B reason: MRI can be useful in identifying complications of meningitis but is not the primary diagnostic tool.

Choice C reason: A CT scan may be done prior to a lumbar puncture if there is a concern for increased intracranial pressure, but it is not the primary diagnostic procedure.

Choice D reason:

The correct answer is d) because a lumbar puncture is the definitive diagnostic procedure for bacterial meningitis. It allows for the analysis of cerebrospinal fluid (CSF) to identify the presence of bacteria and other indicators of infection.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of asthma reports having episodes of bronchoconstriction and increased mucus production while exercising. Which action should the nurse implement?

Correct Answer is B

Explanation

The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for?

Correct Answer is D

Explanation

A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?

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?

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