A nurse is assessing a client who has a history of type 2 diabetes mellitus. The nurse should identify which of the following findings as an indication of a microvascular complication?
Explanation & Rationale
Rationale: A. Coronary artery disease: This is a macrovascular complication of diabetes caused by atherosclerosis affecting large blood vessels, leading to reduced blood flow to the heart and increased risk of myocardial infarction. It does not involve small vessel damage. B. Retinopathy: Diabetic retinopathy is a classic microvascular complication resulting from damage to the small blood vessels of the retina due to chronic hyperglycemia. Over time, it can lead to vision impairment and blindness if not managed appropriately. C. Cerebrovascular accident: A stroke is considered a macrovascular complication involving large arteries that supply the brain. Diabetes increases the risk through mechanisms such as endothelial dysfunction and accelerated atherosclerosis. D. Hypertension: Hypertension is a common comorbidity in people with diabetes and contributes to both micro- and macrovascular complications, but it is not itself classified as a direct microvascular complication of diabetes.