Patients with diabetes are screened for nephropathy annually with a measurement

Patients with diabetes are screened for nephropathy

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hypertension, genetic predisposition, smoking, and chronic hyperglycemia. Patients with diabetes are screened for nephropathy annually with a measurement of the microalbumin in the urine and a serum creatinine is also needed.3.ARationale: 7:30 AM is the anticipated onset time for regular insulin received at 7 AM, with a peak time of around 9 AM and 10 AM.4.BRationale: Hypoglycemia can result in loss of consciousness, seizures, coma, and death. It would be important to wear a medical alert bracelet to alert emergency medical personnel of the diagnosis of diabetes in the event of loss of consciousness.5.CRationale: This statement will allow the patient to have a sense of mastery with acceptance.A is supportive, but not therapeutic or helpful.B may increase anxiety and make the patient feel overwhelmed.D is dismissive and belittling.6.CRationale: Assessment is the first step of the nursing process. The A1C elevation indicates poor control over the last few months. The nurse should first attempt to collect data to determine the reason for the increase in a nonthreatening way. The patient may or may not need more insulin.7.BRationale: Inspecting shoes for foreign objects will prevent injury.A is incorrect because diabetic patients should never go barefoot to prevent injury.C is incorrect because calluses should be removed by a podiatrist. Commercial remedies and manual removal should not be attempted by the patient.D is incorrect because it is important to wear supportive shoes. Canvas is less supporting than other materials, such as leather.
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