The most important diet guideline for older clients with diabetes mellitus to follow is :

The most important diet guideline for older clients with diabetes mellitus to follow is
 
  A) consistently eat at regular times including meals and snacks.
  B) eliminate as much fat from the diet as possible.
  C) include foods rich in calcium at every meal.
  D) include the majority of the caloric intake in the morning meal.

Question 2

An older patient is diagnosed with a large peptic ulcer. Which information will the nurse use from the patient's history to help identify the cause for this ulcer? Standard Text: Select all that apply.
 
  1. Allergy to penicillin
  2. History of cataract surgery several months ago
  3. Taking prescribed medication for hypertension
  4. Taking ibuprofen (Motrin) for chronic bursitis pain
  5. Prescribed warfarin (Coumadin) for chronic atrial fibrillation

Question 3

A nurse interviews an older nondiabetic client during an appointment for a yearly physical examination. Which of the statements made by the client are most suggestive of a possible diagnosis of diabetes?
 
  A) I feel a bit tired by midafternoon and take a 30-minute nap most days.
  B) I've been experiencing blurred vision frequently during the past month.
  C) I sometimes have muscle aches in my upper legs at night.
  D) I'm slightly winded when I walk up a flight of stairs but it passes quickly.

Question 4

Which manifestations that an older patient is exhibiting should the nurse investigate as possibly being caused by peptic ulcer disease? Standard Text: Select all that apply.
 
  1. Diarrhea
  2. Clay-colored stools
  3. Abdominal distention
  4. Indigestion with bloating
  5. Vague and diffuse abdominal pain

Question 5

A risk factor for the diabetic client associated with aggressive glycemic control is
 
  A) the development of foot ulcers.
  B) decreased vision acuity associated with diabetic retinopathy.
  C) frequent skin yeast infections.
  D) hypoglycemic episodes.

Question 6

An older patient with gastroesophageal reflux disease (GERD) is prescribed ranitidine (Zantac). What should the nurse instruct as the mechanism of action of this medication?
 
  1. Neutralizes stomach acid
  2. Decreases acid production in the stomach
  3. Creates a coating that acts as a protective barrier
  4. Increases motility in the esophagus and stomach

Question 7

Smoking cessation is especially important for clients with diabetes mellitus because smoking
 
  A) promotes weight gain.
  B) is a major factor in the development of diabetic neuropathy.
  C) accelerates arteriosclerotic changes in blood vessels.
  D) increases insulin resistance.