{"id":5846,"date":"2025-04-16T12:01:39","date_gmt":"2025-04-16T20:01:39","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=5846"},"modified":"2026-03-20T13:49:48","modified_gmt":"2026-03-20T21:49:48","slug":"nclex-question-of-the-day-diabetic-neuropathy","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-diabetic-neuropathy","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Diabetic neuropathy"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-diabetic-neuropathy\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-diabetic-neuropathy\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-diabetic-neuropathy\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-diabetic-neuropathy\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on diabetic neuropathy. Do you know the answer? Let&#8217;s find out!<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The home health nurse is caring for a 65-year-old patient with type 2 diabetes mellitus (DM) and diabetic neuropathy. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The patient<em> <\/em>has missed several medical appointments, reports taking their glyburide inconsistently, and has been hospitalized twice in the last three months for complications of DM. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Based on this information, the nurse chooses a priority hypothesis of <em>ineffective health management.<\/em> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Which outcome statement is <strong>most <\/strong>appropriate for this patient?&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. The patient will visit the ophthalmologist every two years<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. The patient will take their glyburide for blood glucose levels less than 70 mg\/dL<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. The patient will learn to self-administer insulin once daily<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. The patient will visit a podiatrist monthly for foot care<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Nurses Learn by Osmosis.org\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kGJCkPfFypA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/nclex-rn\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><u>Check out our&nbsp;NCLEX-RN Study Plan Guide!<\/u><\/strong><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. The patient will visit a podiatrist monthly for foot care<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This is an appropriate outcome statement since patients with type 2 DM are at risk for foot injuries due to diabetic neuropathy. Diabetic neuropathy occurs when chronic hyperglycemia leads to vascular and nerve damage, leading to numbness in the periphery. As a result, patients may sustain a wound and not be aware \u2013 leading to delayed healing and infection. Further, this outcome is patient-centered, realistic, time-based, measurable and achievable.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diabetes mellitus (DM) is a condition where glucose cannot be properly moved from the blood into the cells. In patients with type 2 DM, the pancreas is able to produce and secrete insulin, but the tissue cells tend to be insulin resistant, meaning they are unable to respond well to insulin stimulation. The nurse caring for a patient with type 2 DM will practice clinical judgment by identifying expected outcomes and using hypotheses to define a set of interventions. Visiting the podiatrist monthly for foot care is a patient-centered, realistic, time-based, measurable and achievable goal for the priority hypothesis of ineffective health management to prevent foot injuries related to DM and diabetic neuropathy. Diabetic neuropathy occurs when chronic hyperglycemia leads to vascular and nerve damage, causing numbness in the periphery. As a result, patients may sustain a wound and not be aware \u2013 leading to delayed healing and infection.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. The patient will visit the ophthalmologist every two years<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale: <\/strong>Although it is important for patients with DM to visit the ophthalmologist due to the risk for diabetic retinopathy, they should go at least once per year rather than every two years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. The patient will take their glyburide for blood glucose levels less than 70 mg\/dL<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This is not an appropriate outcome since blood glucose levels less than 70 mg\/dL are considered hypoglycemia and taking glyburide, a sulfonylurea anti-diabetic medication, will further reduce blood glucose levels.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. The patient will learn to self-administer insulin once daily<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This is not an appropriate outcome since this patient is not prescribed insulin, instead they are prescribed an oral antidiabetic agent.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch the Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Diabetes_mellitus_(DM):_Nursing_Process_(ADPIE)\">Diabetes mellitus (DM): Nursing process (ADPIE)<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/53.png?w=700\" alt=\"\" class=\"wp-image-458\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/53.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/53.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><figcaption class=\"wp-element-caption\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prep for the NCLEX-RN\u00ae exam with today\u2019s question focusing on diabetic neuropathy in a patient with type 2 diabetes. Learn to identify the most appropriate outcome statement for managing ineffective health management, emphasizing the importance of regular podiatrist visits to prevent foot injuries. Strengthen your clinical skills and understanding of diabetic care!<\/p>\n","protected":false},"author":279,"featured_media":5848,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,29,1367,32],"tags":[628,604,625,626,265,283,286,342,245,149,627],"class_list":["post-5846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-clinical-judgment","tag-diabetes-management","tag-diabetic-neuropathy","tag-health-management","tag-healthcare-training","tag-nclex","tag-nursing","tag-nursing-assessments","tag-nursing-education","tag-patient-care","tag-type-2-diabetes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Diabetic neuropathy - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-diabetic-neuropathy\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Diabetic neuropathy - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prep for the NCLEX-RN\u00ae exam with today\u2019s question focusing on diabetic neuropathy in a patient with type 2 diabetes. 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