To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

A. Serum creatinine.

Urine for microalbuminuria.

Hearing (audio) exam.

Chest x-ray.

Monofilament testing of the foot.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale

Serum creatinine is assessed annually to evaluate kidney function, as diabetes can lead to nephropathy and renal impairment.

Choice B rationale

Urine for microalbuminuria is important to detect early kidney damage, which can occur in diabetic nephropathy.

Choice C rationale

Hearing (audio) exam is not a standard annual test for diabetic complications. Diabetes primarily affects the vascular system, kidneys, and nerves.

Choice D rationale

Chest x-ray is not routinely performed annually for diabetes management. It is used when there are specific indications such as respiratory symptoms.

Choice E rationale

Monofilament testing of the foot is conducted annually to detect diabetic neuropathy and prevent foot ulcers and infections.

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Correct Answer is B

Explanation

Choice A rationale

A complete blood count (CBC) can provide information about the client's overall health and presence of infection, but it does not specifically address the potential underlying cause related to the urinary system.

Choice B rationale

Urinalysis with culture is the most relevant diagnostic test for evaluating the underlying cause of fever, chills, and severe left costovertebral pain. These symptoms suggest a possible urinary tract infection or pyelonephritis, which can be confirmed with urinalysis and culture.

Choice C rationale

A chest X-ray would not be the priority in this scenario as the symptoms suggest a urinary tract issue rather than a respiratory problem. A chest X-ray is more useful for assessing lung conditions.

Choice D rationale

A CT scan of the abdomen and pelvis can be helpful in evaluating the extent of a urinary tract infection or identifying other causes of abdominal pain, but it is typically not the first-line diagnostic test. Urinalysis with culture is more specific for identifying urinary infections. .

A. Intestinal malabsorption syndrome. B. Intestinal parasites. C. Chronic blood loss. D. Dietary iron restrictions.

Correct Answer is C

Explanation

Choice A rationale

Intestinal malabsorption syndrome is not typically associated with ulcerative colitis or anemia caused by this condition. Malabsorption is more often related to other gastrointestinal conditions.

Choice B rationale

Intestinal parasites are not a common cause of anemia in individuals with ulcerative colitis. The chronic inflammation and blood loss are more likely contributors.

Choice C rationale

Chronic blood loss from the intestinal lining due to ulcerative colitis is a major contributing factor to anemia. The ongoing inflammation and ulceration can cause significant blood loss over time.

Choice D rationale

Dietary iron restrictions are not typically associated with ulcerative colitis. Anemia in this context is more likely due to chronic blood loss rather than dietary deficiencies.

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To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain.Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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