Which question during the assessment of a diabetic patient will ...

[appyboo]

Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?
 
  a. Do you feel bloated after eating?
  b. Have you seen any skin changes?
  c. Do you need to increase your insulin dosage when you are stressed?
  d. Have you noticed any painful new ulcerations or sores on your feet?

Question 2

Which information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?
 
  a. Choose flat-soled leather shoes.
  b. Set heating pads on a low temperature.
  c. Use callus remover for corns or calluses.
  d. Soak feet in warm water for an hour each day.

[jamesnevil303]

Answer to Question 1

ANS: A
Autonomic neuropathy can cause delayed gastric emptying, which results in a bloated feeling for the patient. The other questions are also appropriate to ask but would not help in identifying autonomic neuropathy.

Answer to Question 2

ANS: A
The patient is taught to avoid high heels and that leather shoes are preferred. The feet should be washed, but not soaked, in warm water daily. Heating pad use should be avoided. Commercial callus and corn removers should be avoided. The patient should see a specialist to treat these problems.