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 B

Explanation

A. Instructing the UAP to obtain a blood glucose level could be useful, but the nurse should prioritize assessing the client directly.
B. Assessing the client is the first step to confirm hypoglycemia and determine the severity, allowing for appropriate intervention.
C. Administering orange juice may be appropriate after confirming hypoglycemia, but an assessment should be performed first.
D. Administering dextrose is a severe intervention used when symptoms are extreme; assessment should occur first.

A. Monitor blood glucose levels B. Weigh the client daily C. Prepare the client for hemodialysis D. Restrict sodium in the client's diet E. Change the IV fluid from 0.9% NS to D5W

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

Explanation

A. Monitoring blood glucose levels is not directly related to managing fluid volume excess.
B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions.
C. Preparing for hemodialysis is only necessary for severe fluid overload unresponsive to other treatments.
D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
E. Changing IV fluids to D5W is not appropriate, as it could exacerbate fluid volume excess by increasing fluid load.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client received ten (12) units of regular insulin at 08:00. At 11:30 the unlicensed assistant personnel (UAP) tells the nurse the client has a headache and is really acting funny. Which intervention should the registered nurse implement first?

Correct Answer is B

Explanation

The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.

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

Explanation

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