The nurse should teach the client to monitor for which complication of diabetic neuropathy?

diabetic retinopathy

kidney failure

undetected foot injury

atherosclerosis

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Decreased free thyroxine index: In Graves' disease, there is an overproduction of thyroid hormones, including thyroxine (T4), leading to an increase in the free thyroxine index, not a decrease. Elevated T4 levels are typical in hyperthyroidism associated with Graves' disease.

B. Decreased thyroid stimulating hormone (TSH): In Graves' disease, the body produces excess thyroid hormones, which suppresses the pituitary gland’s production of TSH. As a result, TSH levels are typically low in Graves' disease.

C. Decreased triiodothyronine (T3): Graves' disease usually results in increased levels of T3 and T4 due to the overactive thyroid. A decrease in T3 would be inconsistent with the hyperthyroid state seen in this disorder.

D. Decreased thyrotropin receptor antibodies: In Graves' disease, there is an increase in thyrotropin receptor antibodies, which stimulate the thyroid to produce excess thyroid hormones. These antibodies are often elevated, not decreased.

A. "You may be able to stop the injections if you exercise regularly and adhere to the prescribed diet." B. "Once your pancreas recovers, you may be able to discontinue the injections." C. "If you follow your diet closely, your blood sugar may be controlled by just taking insulin pills." D. "You will need insulin injections for the rest of your life."

Correct Answer is D

Explanation

A. "You may be able to stop the injections if you exercise regularly and adhere to the prescribed diet.": Type 1 diabetes is characterized by the body's inability to produce insulin due to autoimmune destruction of the beta cells in the pancreas. Insulin therapy is essential for life, regardless of diet or exercise.

B. "Once your pancreas recovers, you may be able to discontinue the injections.": In type 1 diabetes, the pancreas does not recover its ability to produce insulin. The condition is chronic, and insulin therapy will be needed for life.

C. "If you follow your diet closely, your blood sugar may be controlled by just taking insulin pills.": Oral hypoglycemic agents are used in type 2 diabetes, not type 1 diabetes. Clients with type 1 diabetes require insulin injections because their bodies do not produce insulin.

D. "You will need insulin injections for the rest of your life.": In type 1 diabetes, the pancreas does not produce insulin, so lifelong insulin injections or insulin pump therapy are necessary to manage blood glucose levels.

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The nurse should teach the client to monitor for which complication of diabetic neuropathy?

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Naxlex Comprehensive Predictor Exams

A nurse is in a provider's office is reviewing the health record of a client who is being evaluated for Grave's disease. Which of the following is an expected laboratory finding for this client?

Correct Answer is B

Explanation

A patient is newly diagnosed with type 1 diabetes mellitus. How should the nurse respond when the patient asks how long the insulin injections will be necessary?

Correct Answer is D

Explanation

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A client has flushed skin, bulging eyes and perspiration, and states that he has been "irritable" and having palpitations. The nurse interprets these findings as suggesting:

A client diagnosed with hyperthyroidism will be taking propylthiouracil (PTU). The nurse provides medication instructions and determines that the client understands the information if the client states that it is most important to report which of the following symptoms to the physician?

A nurse has provided diabetic teaching with the family of a client newly diagnosed with diabetes. The nurse determines that the family understands the reason for having glucagon on hand for emergency home use if the family indicates that the purpose of the medication is to treat

The nurse is preparing a patient for a test that will involve the use of contrast media. Which finding in the patient's health history should be reported to the physician before the examination?

Which situation would most appropriately describe a client possibly require glucose management by sliding scale insulin?

The nurse should teach the client to monitor for which complication of diabetic neuropathy?