Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?
"Do you need to increase your insulin dosage when you are stressed?"
"Have you noticed any painful new ulcerations or sores on your feet?"
"Have you seen any skin changes?"
"Do you feel bloated after eating?"
The Correct Answer is D
A. This question assesses for glucose management under stress but does not specifically target autonomic neuropathy.
B. Painful ulcerations relate more to peripheral neuropathy rather than autonomic neuropathy.
C. Skin changes could be a result of diabetes but do not directly assess autonomic neuropathy.
D. Autonomic neuropathy can affect digestion, leading to symptoms such as bloating due to delayed gastric emptying (gastroparesis).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Weight may fluctuate but is not a direct indication of immediate fluid resuscitation adequacy.
B. A decrease in heart rate is a sign of improved perfusion and stabilization, suggesting that fluid replacement is effective in compensating for blood loss.
C. Adequate fluid replacement is indicated by an increase, not a decrease, in urine output.
D. Blood pressure should stabilize or increase with fluid replacement, rather than decrease.
Correct Answer is A
Explanation
A. A fasting blood glucose level of 126 mg/dL or higher on two separate occasions meets the diagnostic criteria for diabetes.
B. A casual blood glucose level of 200 mg/dL or higher, along with symptoms of hyperglycemia, is required for diagnosis.
C. An HbA1c of 6.5% or higher can indicate diabetes, but it should be confirmed on a second test.
D. A 2-hour blood glucose of 200 mg/dL or higher during an oral glucose tolerance test is used to diagnose diabetes; 170 mg/dL does not meet this threshold.
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