NUR 257 Exam 3 Review questions with verified detailed
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solutions
For the elderly client its important to note in regards to diabetes mellitus that - ✔✔It is
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diagnosed in the late stages due to lack of symtpoms in early stage
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What does A1C measure? - ✔✔Average blood glucose over 3 months.
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If your elderly client has an acute illness with inability to take oral medications for their
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diabetes mellitus what should you as the nurse do? - ✔✔Contact PCP
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Why should the nurse take caution when giving metformin (used to treat diabetes type 2) to
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the elderly - ✔✔Because of the declining kidney function in the elderly resulting in further
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decline in kidney function || || ||
What are some education points for the elderly who have diabetes mellitus - ✔✔Limiting
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saturated fats and encouraging low sodium diet as well as foot care ensuring they attend
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podiatrist appointments, checking feet daily encouraging the use of a mirror to look at
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plantar surface. ||
What are some education points for the elderly who have diabetes mellitus about
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hypoglycemia - ✔✔Let them know that the brain needs constant glucose supply and to || || || || || || || || || || || || || ||
provide intake of milk and glucagon if the patient passes out or is unable to take sugar by
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mouth. It can be injected as needed at the first sign of hypoglycemia. They should have
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glucagon on them at all times. || || || || ||
Neuropathy education - ✔✔Feelings of pins/needles in feet usually indicated increased
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blood glucose levels.|| ||
, Education on glucosuria - ✔✔May cause incontinence, limit saturated fats and carbs eat
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low sodium ||
S/S of hypoglycemia - ✔✔irritable, confusion, tremors, blurred vision, skin cool clammy,
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tachycardia
What are the 3 P's of diabetes - ✔✔Polyuria
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Polydipsia ||
Polyhagia
Rapid-acting insulin - ✔✔Lispro (Humalog) || || || ||
Aspart (Novolog) ||
Glulisine (Apidra) ||
It's taken just before meals
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Short-acting insulin - ✔✔Regular (Humulin R, Novolin R)|| || || || || || ||
Taken 30-60 minutes before meals
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Intermediate-acting insulin - ✔✔NPH (Humulin N, Novolin N) || || || || || || ||
Usually taken once or twice a day often at bedtime
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Long-acting insulin - ✔✔glargine (Lantus) || || || ||
detemir (Levemir) ||
Taken once a day typically in the morning
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solutions
For the elderly client its important to note in regards to diabetes mellitus that - ✔✔It is
|| || || || || || || || || || || || || || || || ||
diagnosed in the late stages due to lack of symtpoms in early stage
|| || || || || || || || || || || ||
What does A1C measure? - ✔✔Average blood glucose over 3 months.
|| || || || || || || || || ||
If your elderly client has an acute illness with inability to take oral medications for their
|| || || || || || || || || || || || || || || ||
diabetes mellitus what should you as the nurse do? - ✔✔Contact PCP
|| || || || || || || || || || ||
Why should the nurse take caution when giving metformin (used to treat diabetes type 2) to
|| || || || || || || || || || || || || || ||
the elderly - ✔✔Because of the declining kidney function in the elderly resulting in further
|| || || || || || || || || || || || || || || ||
decline in kidney function || || ||
What are some education points for the elderly who have diabetes mellitus - ✔✔Limiting
|| || || || || || || || || || || || || ||
saturated fats and encouraging low sodium diet as well as foot care ensuring they attend
|| || || || || || || || || || || || || || ||
podiatrist appointments, checking feet daily encouraging the use of a mirror to look at
|| || || || || || || || || || || || || ||
plantar surface. ||
What are some education points for the elderly who have diabetes mellitus about
|| || || || || || || || || || || || ||
hypoglycemia - ✔✔Let them know that the brain needs constant glucose supply and to || || || || || || || || || || || || || ||
provide intake of milk and glucagon if the patient passes out or is unable to take sugar by
|| || || || || || || || || || || || || || || || || ||
mouth. It can be injected as needed at the first sign of hypoglycemia. They should have
|| || || || || || || || || || || || || || || ||
glucagon on them at all times. || || || || ||
Neuropathy education - ✔✔Feelings of pins/needles in feet usually indicated increased
|| || || || || || || || || || ||
blood glucose levels.|| ||
, Education on glucosuria - ✔✔May cause incontinence, limit saturated fats and carbs eat
|| || || || || || || || || || || || ||
low sodium ||
S/S of hypoglycemia - ✔✔irritable, confusion, tremors, blurred vision, skin cool clammy,
|| || || || || || || || || || || ||
tachycardia
What are the 3 P's of diabetes - ✔✔Polyuria
|| || || || || || || ||
Polydipsia ||
Polyhagia
Rapid-acting insulin - ✔✔Lispro (Humalog) || || || ||
Aspart (Novolog) ||
Glulisine (Apidra) ||
It's taken just before meals
|| || || ||
Short-acting insulin - ✔✔Regular (Humulin R, Novolin R)|| || || || || || ||
Taken 30-60 minutes before meals
|| || || ||
Intermediate-acting insulin - ✔✔NPH (Humulin N, Novolin N) || || || || || || ||
Usually taken once or twice a day often at bedtime
|| || || || || || || || ||
Long-acting insulin - ✔✔glargine (Lantus) || || || ||
detemir (Levemir) ||
Taken once a day typically in the morning
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