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 ["200"]

Explanation

Calculation steps:

Step 1: Determine the total volume to be infused. 100 mL

Step 2: Determine the time for infusion. 30 minutes

Step 3: Convert time to hours. 30 minutes ÷ 60 minutes/hour Result: 0.5 hours

Step 4: Calculate the rate in mL/hour. 100 mL ÷ 0.5 hours Result: 200 mL/hour

A. Preoperative chest x-ray report is not available. B. Surgical consent form is not signed. C. Preoperative serum potassium level is 2.8 mEq/L (2.8 mmol/L). D. Client's pulse oximeter reading is 96%.

Correct Answer is C

Explanation

Choice A reason: While the chest x-ray report is important, it is not as immediately critical as a low potassium level.

Choice B reason: The surgical consent form is important but can be addressed quickly before surgery.

Choice C reason:

The correct answer is c) because a preoperative serum potassium level of 2.8 mEq/L is dangerously low and requires immediate correction to avoid cardiac complications during surgery.

Choice D reason: A pulse oximeter reading of 96% is within normal limits and does not require immediate action.

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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

Correct Answer is ["200"]

Explanation

Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse?

Correct Answer is C

Explanation

A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?

A client with edema receives a prescription for a one-time dose of furosemide 20 mg IV. The medication is available in a 10 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only.)

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

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.

One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

An adult woman with Grave's disease is admitted with severe dehydration and malnutrition. She is currently restless and refusing to eat. Which action is most important for the nurse to implement?

A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?