The healthcare provider has ordered a monofilament test on a patient with diabetes mellitus. What should be included in the nurse's instruction?
1. "A monofilament test is used to detect retinopathy in patients with diabetes."
2. "A monofilament test will assess feeling and sensations in different parts of your feet."
3. "A monofilament test will detect elevated blood glucose levels and ketones in the blood."
4. "A monofilament test will indicate weak or absent peripheral pulses in your feet."
2. "A monofilament test will assess feeling and sensations in different parts of your feet."
Explanation: 1. Retinopathy would be determined during an ophthalmic examination.
2. The monofilament test is used to assess a patient for the presence of protective sensation in the foot, which would alert the patient to the development of a blister or foot ulcer. Patients who can feel the filament at the designated sites are at reduced risk for developing foot ulcers.
3. Diabetic ketoacidosis is diagnosed by clinical picture, elevated blood glucose levels, and presence of ketones in the blood with acidosis.
4. Arterial insufficiency in the lower extremities is diagnosed by patient symptoms and weak or absent peripheral pulses on physical assessment.
You might also like to view...
A client asks the nurse which types of antidepressants have the fewest side effects. What is the nurse's most accurate response?
a. "Tricyclic antidepressants" b. "Nontricyclic antidepressants" c. "Monoamine oxidase inhibitors (MAOIs)" d. "Selective serotonin reuptake inhibitors (SSRIs)"
Good Samaritan laws were enacted to protect the health care professional from legal liability. An example of care rendered that does not fall into this category is:
a. a doctor who delivers a baby during a football game b. a nurse who sets a broken leg while hiking in the mountains c. an EMT who, upon arrival at an accident, intubates an accident victim who stopped breathing and who was forcibly thrown from his own vehicle d. a nurse who stops to help at the scene of a water skiing accident
When assessing a client diagnosed with antisocial personality disorder, the nurse would expect to observe which of the following?
A) Deceit and dishonesty B) Grandiose view of self C) Inability to make self-care decisions D) Preoccupation with orderliness
When the nurse is evaluating care for cultural considerations, which of the following should be done first?
1. Examine the plan of care. 2. Evaluate the outcomes of care. 3. Make revisions. 4. Review the goals and objectives set for the client.