Author Question: After an assessment, the nurse suspects that a client is experiencing signs of type 2 diabetes ... (Read 34 times)

javeds · **on:** Jul 23, 2018

After an assessment, the nurse suspects that a client is experiencing signs of type 2 diabetes mellitus. What did the nurse assess in this client?

Standard Text: Select all that apply.
1. Excessive urination
2. Excessive thirst
3. Blurred vision
4. Tingling of the fingers and toes
5. Itchy skin rash

Question 2

When reviewing a client's current medications, the nurse is concerned that the insulin dose will need to be adjusted because the client is currently prescribed which medications?

Standard Text: Select all that apply.
1. Beta blocker
2. Monoamine oxidase inhibitor
3. Angiotensin-converting enzyme inhibitor
4. Cardiac glycoside
5. Nonsteroidal anti-inflammatory agents

LP · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Excessive urination or polyuria is a symptom of type 2 diabetes.
Rationale 2: Excessive thirst or polydipsia is a symptom of type 2 diabetes.
Rationale 3: Blurred vision is a symptom of type 2 diabetes.
Rationale 4: Tingling or paresthesias is a symptom of type 2 diabetes.
Rationale 5: Itchy skin rash is not a symptom of type 2 diabetes.
Global Rationale: Polyuria, polydipsia, blurred vision, and paresthesia are findings associated with type 2 diabetes mellitus. Itchy skin rash is not a finding associated with type 2 diabetes mellitus.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Insulin must be used cautiously in conjunction with medications that can produce hypoglycemia, including beta blockers.
Rationale 2: Insulin must be used cautiously in conjunction with medications that can produce hypoglycemia, including monoamine oxidase inhibitors.
Rationale 3: Angiotensin-converting enzyme inhibitors increase insulin sensitivity and may enhance the hypoglycemic effects of insulin.
Rationale 4: Insulin does not need to be used cautiously in conjunction with cardiac glycosides.
Rationale 5: Insulin does not need to be used cautiously in conjunction with nonsteroidal anti-inflammatory agents.
Global Rationale: Insulin must be used cautiously in conjunction with medications that can produce hypoglycemia, including beta blockers, monoamine oxidase inhibitors, and angiotensin-converting enzyme inhibitors. Cardiac glycosides and NSAIDs do not interact with insulin.