The nurse should teach the client to monitor for which complication of diabetic neuropathy?
diabetic retinopathy
kidney failure
undetected foot injury
atherosclerosis
The Correct Answer is C
A. Diabetic retinopathy: Diabetic retinopathy is a complication of diabetes that affects the eyes, specifically the retina and can lead to vision loss. It is not directly associated with diabetic neuropathy, which affects the nerves.
B. Kidney failure: Kidney failure can result from diabetic nephropathy, a complication of diabetes that affects the kidneys, but it is not the primary concern of diabetic neuropathy. Diabetic neuropathy primarily affects the nerves, especially in the extremities.
C. Undetected foot injury: Diabetic neuropathy can cause numbness and reduced sensation in the feet, making it difficult for the patient to feel foot injuries. This can lead to undetected foot injuries, which can become infected and lead to serious complications like ulcers or even amputation.
D. Atherosclerosis: Atherosclerosis (plaque buildup in the arteries) can be a complication of diabetes and contribute to cardiovascular disease, but it is not a direct result of diabetic neuropathy. Neuropathy primarily affects the nerves, not the blood vessels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I need to increase my intake of dietary items that are high in calcium.": Hyper-parathyroidism leads to elevated calcium levels in the blood due to overproduction of parathyroid hormone (PTH). Increasing calcium intake would exacerbate the condition.
B. "I need to eat foods high in potassium.": Furosemide, a diuretic, can cause potassium loss through increased urination, so it is important to increase potassium intake. Foods like bananas, oranges, and potatoes are good sources of potassium.
C. "I need to eat small, frequent meals and snacks if nauseated.": Nausea is a common symptom in hyperparathyroidism, and small, frequent meals can help prevent nausea and improve overall comfort and nutritional intake.
D. "I need to drink at least 2 to 3 L of fluid daily.": Adequate hydration is important for kidney function and to help prevent kidney stones, which are a common complication in hyperparathyroidism due to high calcium levels.
Correct Answer is D
Explanation
A. Pulse oximeter reading 96%: A pulse oximeter reading of 96% is within the normal range (95-100%) and does not warrant immediate intervention. This indicates that the client's oxygen saturation is adequate.
B. Serum blood glucose level of 74 mg/dL: A serum blood glucose level of 74 mg/dL is within the normal range (70-100 mg/dL) for a fasting blood glucose level. This does not indicate an urgent issue, and no immediate intervention is needed for this value.
C. The client is lethargic and sleeps all the time: Lethargy and excessive sleep can be symptoms of myxedema coma, as it is a severe form of hypothyroidism. However, this is a common manifestation of the condition and does not require immediate intervention
D. Telemetry reading showing sinus bradycardia: Sinus bradycardiais common in myxedema coma due to the decreased metabolic rate associated with severe hypothyroidism. However, if the heart rate becomes too low, it can lead to serious complications like cardiac arrest.
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