Ch .25 long-term complications of diabetes
A nurse is explaining to a patient how uncontrolled diabetes mellitus may eventually lead to amputation. What is the proper sequence of steps leading to this development?
1. hyperglycemia 2. nerve damage 3. decrease sensation 4. increased risk for wounds 5. poor wound healing and increased infection
A nurse is assessing a patient for skin changes that can occur with diabetes mellitus (DM). Which of the following will the nurse note that is likely associated with diabetes mellitus?
Acanthosis Nigricans
A patient states to a nurse that he is experiencing changes in the skin and tissue in the location he uses for his insulin injection. What is an appropriate response by the nurse?
Ask the patient if he is rotating injection sites
Individuals with diabetes mellitus (DM) are at an increased risk for chronic infections with which of the following infectious agents?
Candia albicans
Because diabetes mellitus (DM) is associated with long-term complications, which of the following common follow-up care examinations are recommended? Select all that apply.
Feet examinations Fundoscopic examinations
This image shows a long-term complication in diabetes mellitus. What is the image showing?
decubitus ulcer
Because diabetes mellitus can damage the autonomic nervous system, the nurse wants to explain some signs and symptoms that the patient may experience. Which should she include on her list for a patient with disrupted autonomic nervous system functioning?
erectile dysfunction
A nurse is explaining to a patient that, although he feels "fine," glycemic control is important as chronic hyperglycemia has been associated with increased risk for which of the following?
amputation
A nurse is concerned about the poor glycemic control of a patient and the complaints of blurred vision by the patient. Which of the following is recommended?
fundoscopic examination
A patient has recently been diagnosed with type 2 diabetes mellitus. He wants to know whether his disease can lead to any long-term problems. Which of the following may the nurse share as a long-term complication of diabetes mellitus?
blindness
The following figure is found in a patient's chart. The patient has type 2 diabetes mellitus. Which is the correct interpretation as to the purpose of this chart? its a picture of feet with points
pattern of assessing sensor function in feet
A nurse is working with a patient who has had type 2 diabetes mellitus (DM) for several years. The nurse will need to keep in mind which of the following psychological aspects?
people with DM are twice as likely to suffer depression
A nurse is working with a patient who is performing "insulin purging." What is the correct association for the nurse to make?
the patient is restricting insulin usage to promote weight loss
A patient with type 2 diabetes mellitus (DM) receives urinalysis results that are positive for albumin. What does the nurse suspect?
the patient may be developing diabetic nephropathy
On a fundoscopic examination of a patient with diabetes mellitus (DM), proliferative retinopathy is noted. Which of the following is the correct interpretation?
damage to microvasculature of the retina