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?"

Answer and Explanation

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).

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Correct Answer is D

Explanation

A. Oral hypoglycemics are not appropriate for managing DKA, as immediate and effective control of blood glucose levels is required through IV insulin.
B. Dextrose solutions are not initially indicated, as they could elevate blood glucose further. Dextrose may be considered once blood glucose reaches a safer level (around 250 mg/dL).
C. Glucocorticoids can increase blood glucose levels, so they are contraindicated in DKA management.
D. 0.9% sodium chloride IV bolus is essential to address dehydration commonly seen in DKA due to osmotic diuresis and to restore blood volume.

A. Ensure the drainage tubing is patent and without obstruction. B. Notify the surgeon if the urine is bright red in appearance or has large clots. C. Add the amount of bladder irrigation to the total output. D. Use sterile technique when preparing the irrigation solution. E. Contact the surgeon if the client reports a continual need to void.

Correct Answer is ["A","B","D","E"]

Explanation

A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow.
B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon.
C. The amount of irrigation fluid is usually subtracted from the total output to determine true urine output, not added.
D. Using sterile technique helps prevent infection in a postoperative patient.
E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.

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Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?

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Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

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A nurse is caring for a client who has developed diseases of large and medium-sized blood vessels because of diabetes. Which of the following should the nurse anticipate if the client has cerebrovascular disease, cardiovascular disease, and peripheral vascular disease?

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