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 A
Explanation
A. Pain assessment and management are a priority in renal colic due to the severe discomfort it causes, and prompt treatment is necessary.
B. Monitoring urinary output is important but is secondary to immediate pain management.
C. Safety during ambulation is necessary, but assessing and managing pain takes precedence in an acute setting.
D. Increasing fluid intake can help flush out stones but is typically addressed after pain management.
Correct Answer is D
Explanation
A. Low back pain is a symptom that may indicate pyelonephritis but is not specific to older adults.
B. Incontinence can occur in UTIs but is common in older adults for various reasons and is not specific to a UTI.
C. Urinary retention is not a distinguishing feature of UTI in older adults.
D. Confusion or altered mental status is a common sign of UTI in older adults, often the primary symptom due to age-related changes in cognition.
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