After an assessment, the nurse suspects that a client is ...

[javeds]

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]

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.

[javeds]

TYSM

[robbielu01]

Excellent