Nokea
The client with diabetes asks the nurse why shoes and socks are removed at each office visit. The nurse gives which assessment finding as the explanation for the inspection of feet?
- A. Autonomic neuropathy
- B. Retinopathy
- C. Sensory neuropathy
- D. Nephropathy
Correct Answer: C
Rationale: Sensory neuropathy from poor glucose control reduces foot sensation, increasing injury risk. Regular foot inspections detect issues early. Autonomic neuropathy affects organs, retinopathy affects eyes, and nephropathy affects kidneys, not directly related to foot injuries.
You may also like to solve these questions
The nurse is caring for a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNKS). Which assessment finding should the nurse address immediately?
- A. Hypotension
- B. Blood pH 7.38
- C. Mental changes
- D. Fever
Correct Answer: A
Rationale: Hypotension in HHNKS indicates significant fluid loss from the extracellular compartment, requiring urgent correction to prevent coma or death. A normal pH (7.38) is not a concern, and while mental changes and fever are symptoms, they are less immediately life-threatening than fluid imbalance.
A client with type 2 diabetes who is physically active reports recurrent symptoms of weakness and nervousness. Which is the best response from the nurse?
- A. These symptoms are related to added stress.
- B. Maybe you should eat simple carbohydrates.
- C. Sounds like high blood sugar symptoms.
- D. Exercise and activity can lower glucose levels.
Correct Answer: D
Rationale: Weakness and nervousness suggest hypoglycemia, which can be triggered by exercise lowering blood glucose levels. These are not typical of hyperglycemia, stress alone, or a need for simple carbohydrates, which could exacerbate glucose fluctuations.
A client newly diagnosed with type 1 diabetes asks the nurse why injection site rotation is important. What is the nurse's best response?
- A. Avoid infection.
- B. Promote absorption.
- C. Minimize discomfort.
- D. Prevent muscle destruction.
Correct Answer: B
Rationale: Rotating injection sites prevents lipodystrophy (fat buildup or breakdown), ensuring consistent insulin absorption. While infection and discomfort are concerns, they are not the primary reasons. Insulin is not injected into muscle, so muscle destruction is irrelevant.
The nurse is taking the history of a client with diabetes who is experiencing autonomic neuropathy. Which would the nurse expect the client to report?
- A. Skeletal deformities
- B. Paresthesias
- C. Erectile dysfunction
- D. Soft tissue ulceration
Correct Answer: C
Rationale: Autonomic neuropathy affects organ function, including sexual function. Up to 50% of men with diabetes may develop erectile dysfunction due to impaired nerve function. Skeletal deformities and soft tissue ulceration are associated with motor neuropathy, while paresthesias are linked to sensory neuropathy.
A client is admitted to the unit with diabetic ketoacidosis (DKA). Which insulin would the nurse expect to administer intravenously?
- A. Glargine
- B. Regular
- C. NPH
- D. Lente
Correct Answer: B
Rationale: Regular insulin is used intravenously for DKA due to its rapid onset and ability to be infused continuously. Glargine, NPH, and Lente are long- or intermediate-acting insulins administered subcutaneously, unsuitable for acute DKA management.