CEA Nursing Practice Exam

What should a nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 include?

1. Renal function panel

2. Urinalysis

3. Non-dilated eye exam

4. All of these are appropriate options

The correct answer is: All of these are appropriate options

In the evaluation of a patient with Diabetes Mellitus type 2, it is essential for the nurse practitioner to perform a comprehensive assessment that encompasses various health parameters. Each component listed contributes to understanding the overall health status of a patient with diabetes. Conducting a renal function panel is crucial as diabetes can lead to kidney complications, and regular monitoring helps in early detection of renal impairment. This panel evaluates the kidneys' ability to filter waste and manage electrolyte levels, which is particularly important for diabetic patients who are at increased risk for nephropathy. A urinalysis is equally important, as it can reveal the presence of glucose or protein in the urine, both of which can indicate poor diabetes management or the onset of complications such as diabetic nephropathy. The urinalysis helps in assessing kidney function and can provide early warning of worsening kidney health. Lastly, a non-dilated eye exam is critical because patients with diabetes are susceptible to various ocular conditions, including diabetic retinopathy. Regular eye examinations can help identify changes in the retina and facilitate timely intervention to prevent vision loss. Considering all these evaluations together forms a comprehensive approach to managing diabetes effectively and preventing complications, thereby making the option that includes all these evaluations the most appropriate choice.