The nurse teaches an older patient with type 2 diabetes mellitus how to manage the disorder when ...

The nurse teaches an older patient with type 2 diabetes mellitus how to manage the disorder when becoming acutely ill with a cold or other infection.

Which statements indicate that instruction has been effective? Standard Text: Select all that apply. 1. I should call the doctor if I have severe diarrhea.
2. Difficulty breathing means I need to get some more rest.
3. I should continue to take my medication even if I'm vomiting.
4. A large amount of ketones in my urine is nothing to worry about.
5. I should not take my medication if I can't eat and call the doctor.

Question 2

An 87-year-old woman is admitted to the hospital. The nurse caring for the woman knows that a common nursing diagnosis for this age group of clients is risk for injury. A priority nursing intervention for this client is to

A) perform a fall assessment.
B) keep the side rails up on the client's bed at nighttime.
C) place a walker at the client's bedside.
D) assess the client's dietary intake for calcium adequacy.

Question 3

A nurse working in the orthopedic clinic often receives questions from clients about exercise. The nurse answers their questions based on the knowledge that regular exercise

A) if performed in excess as a young adult, will lead to osteoporosis.
B) prevents muscle atrophy and improves mobility, thus reducing the risk of falls.
C) should be avoided by older adults with rheumatoid arthritis because it could cause a flare up of inflammation.
D) is likely to lead to increased reliance on analgesic medications.

Question 4

During a home visit the nurse learns that an older patient with type 2 diabetes mellitus and chronic renal failure is experiencing headache, polydipsia, and lethargy.

What is the most important assessment that the nurse should make at this time? 1. Measure the patient's latest urine output.
2. Assess the patient's appetite and oral intake.
3. Measure the patient's current capillary blood glucose level.
4. Determine the amount of fluid the patient has ingested over the last few hours.

Question 5

A client has been diagnosed with Paget's disease of the bone. The nurse knows that this client is likely to

A) develop painful urate crystal deposits.
B) undergo synovial fluid analysis.
C) have an alkaline phosphatase level that is significantly elevated.
D) have normal bone formation on x-ray examination.

Question 6

A nurse reviews instructions for allopurinol (Zyloprim) with a client diagnosed with gout. The nurse knows that the prescribed medication

A) will block the excretion of uric acid.
B) neutralizes uric acid.
C) lowers the formation of uric acid.
D) increases the excretion of uric acid.

Question 7

The nurse is concerned that an older patient with type 2 diabetes mellitus is demonstrating signs of hyperglycemia. What did the nurse assess in the patient? Standard Text: Select all that apply.

1. Fatigue
2. Dizziness
3. Blurred vision
4. Abdominal pain
5. Excessive urination

Question 8

Research findings in the Nurses Health Study suggest that which of the following modifiable risk factors for osteoarthritis is associated with the likelihood of having hip replacement?

A) increased body mass index (BMI)
B) physical inactivity
C) cigarette smoking
D) alcohol consumption

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The nurse teaches an older patient with type 2 diabetes mellitus how to manage the disorder when ...

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