Author Question: A patient with diabetes mellitus has albuminuria, hypertension, and edema. What should the nurse ... (Read 43 times)

codyclark · **on:** Jun 25, 2018

A patient with diabetes mellitus has albuminuria, hypertension, and edema. What should the nurse expect to be prescribed for this patient?

1. Restrict activity.
2. Increase salt intake.
3. Review weight loss strategies.
4. Provide antibiotic therapy as prescribed.

Question 2

A patient with type 1 diabetes mellitus has difficulty swallowing and takes milk of magnesium every day for nausea and constipation. What should the nurse suspect is occurring with this patient?

1. age-related changes
2. visceral neuropathy
3. peripheral neuropathy
4. reaction to insulin injections

Tonyam972 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Management of diabetic nephropathy includes control of hypertension with ACE inhibitors, weight loss, reduced salt intake, and exercise. Antibiotics are not used to control diabetic nephropathy.

Answer to Question 2

Correct Answer: 2
The visceral neuropathies cause various manifestations, depending on the area of the autonomic nervous system involved. Gastrointestinal dysfunction caused by autonomic neuropathy causes changes in upper gastrointestinal motility, leading to dysphagia and nausea. Constipation is one of the most common gastrointestinal manifestations associated with diabetes, possibly a result of hypo-motility of the bowel. Difficulty swallowing and nausea are not specifically attributed to aging. Peripheral neuropathies affect the sensory and motor function of the extremities. Swallowing, nausea, and constipation are not adverse effects of insulin.