The nurse is evaluating care provided to a patient with type 2 diabetes mellitus. Which data indicates that the patient is managing the disease process effectively?
Weight gain of 3 lbs. over the last 2 months
Eye doctor appointment scheduled for the following week
Hemoglobin A1c level 8.1%
Reddened area noted on the sole of the left foot
The Correct Answer is B
A. Incorrect → Weight gain (even if minor) can indicate poor glucose control, especially if linked to fluid retention or insulin resistance.
B. Regular ophthalmology exams are crucial for early detection of diabetic retinopathy, a leading cause of blindness in diabetes. Scheduling an eye appointment demonstrates proactive disease management.
C. Incorrect → A Hemoglobin A1c of 8.1% is above the target range (typically <7% for diabetics) and indicates poor blood glucose control over the past 2-3 months.
D. Incorrect → A reddened area on the sole of the foot suggests early signs of diabetic foot complications and possible neuropathy or poor circulation, requiring intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Blood verification must be done by two licensed nurses.
B. Incorrect. Monitoring for transfusion reactions is the nurse's responsibility.
C. Correct. UAPs can obtain baseline vital signs before the transfusion, as long as the nurse interprets them.
D. Incorrect. Verifying patient ID for blood transfusions is a nursing responsibility per hospital protocol.
Correct Answer is D
Explanation
A. Prosopagnosia – Incorrect. This is inability to recognize faces, unrelated to dysphagia.
B. Cognition – Incorrect. Dysphagia affects swallowing, not cognitive function.
C. Communication – Incorrect. While Parkinson’s can cause speech issues, dysphagia specifically affects swallowing.
D. Swallowing – Correct Answer. Dysphagia is difficulty swallowing, common in Parkinson’s disease due to impaired muscle control.
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