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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
The nurse notes the laboratory testing performed on a 78-year-old patient reveals a serum glucose level of 130 mg/dL. The nurse performs an assessment of the patient and notes the absence of polyuria, polydipsia, or polyphagia. Which of the following impressions by the nurse is most correct?
1. The patient might have eaten a meal with high sugar content prior to the testing.
2. The laboratory results might be erroneous.
3. The patient has type 1 diabetes mellitus.
4. The patient will need to be assessed for other manifestations of diabetes.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
4 -- Older adults with diabetes might not present with the classic symptoms of polyuria, polyphagia, or polydipsia. Symptoms of diabetes in older patients can include hypotension, periodontal disease, infections, and strokes. A slight elevation in serum glucose level warrants further investigation. In an adequately functioning endocrine system, dietary intake is managed by the needed amounts of insulin produced by the pancreas. There is no reason to question the laboratory results at this time. There is inadequate information to make a diagnosis of type 1 diabetes mellitus.
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