The nurse assists an older man who has type 2 diabetes mellitus to improve his glucose control. Which of the following instructions does the nurse give to this individual when he plans to walk more than usual in one day?
a. Omit antidiabetic medication. c. Supplement caloric intake.
b. Wear sturdy open-toed shoes. d. Prepare to adminis-ter insulin.
Question 2The nurse teaches an older adult who has diabetes mellitus and takes metoprolol (Lopres-sor) to recognize clinical indicators of hypoglycemia.
Which clinical indicators of hypog-lycemia does the nurse include in patient teaching as the indicators this man is most likely to detect? a. Shaking
b. Dizziness
c. Weakness
d. Diaphoresis
e. Tachycardia
f. Impaired vision
Question 3Which co-morbidity commonly associated with type 2 diabetes mellitus enhances the develop-ment of the microvascular complications of diabetes mellitus?
a. Hyperlipidemia c. Venous insuffi-ciency
b. Hypothyroidism d. Chronic constipa-tion
Question 4A resident in a nursing home insists that a priest hear his confession. The resident is very anxious, and the nursing home does not have a Roman Catholic chaplain. Which intervention should the nurse implement?
a. An Episcopal priest is coming to visit the home this evening. Arrange an appoint-ment with her for the resident.
b. Report the resident's change in behavior in detail so that the attending physician can appropriately prescribe medication.
c. Refer the resident to the staff psychologist to address the underlying cause of the pa-tient's anxiety.
d. Look in the local telephone book for a Roman Catholic Church, and ask the priest to visit the resident.
Question 5An older male adult who is a non-Hispanic Caucasian has a fasting blood sugar above 130 mg/dl. Which patient assessment does the nurse use to confirm a high risk for di-abetes mellitus in this man?
a. 68-years-old
b. 120/80 mm Hg
c. Peripheral pulses palpable
d. Total cholesterol 198 mg/dl
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