Why should the nurse counsel an older patient with a history of occasional high blood glucose levels to stop smoking?
1. To prevent insulin resistance
2. To prevent the loss of additional weight
3. To reduce the risk of developing type 2 diabetes mellitus
4. To ensure that blood glucose levels will remain within normal limits
Question 2The nurse is teaching a client about bladder training after a surgical procedure designed to reduce urinary incontinence. Which of the following statements by the client indicates understanding of the teaching provided?
A) I should try to see how long I can hold my urine before voiding.
B) Research has not supported theories linking dietary intake to bladder irritation.
C) I should force fluids to promote my bladder to hold more urine.
D) I will gradually space my voiding times to longer periods.
Question 3The nurse is planning interventions to achieve the goal of maintaining glycemic control for an older patient with type 2 diabetes mellitus.
Which interventions will the nurse include in this patient's plan of care? Standard Text: Select all that apply. 1. Teach to prevent hypoglycemia.
2. Emphasize the role of physical exercise.
3. Review the manifestations of complications.
4. Stress the importance of avoiding carbohydrates.
5. Instruct in self-monitoring of blood glucose levels.
Question 4A resident has just moved to a long-term care facility. During the admission process, a series of laboratory tests was performed. While reviewing the test results, the nurse notes the presence of bacteria in the urine.
Which of the actions by the nurse should be completed next?
A) Review the nursing assessment for reports consistent with a urinary tract infection.
B) Notify the physician.
C) Order a culture and sensitivity to identify the exact type of bacteria.
D) Order a repeat urinalysis to confirm the initial test.
Question 5While reviewing laboratory results for an older patient the nurse notes that the glycosylated hemoglobin (HbA1c) result is 6.0. What does this finding indicate to the nurse?
1. The patient needs a referral to a dietician.
2. The patient needs additional testing for anemia.
3. The patient has undiagnosed type 2 diabetes mellitus.
4. The patient's average blood glucose level was 120 over the past 3 months.
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