NUR 257 Chronic Exam 3 Actual Verified Exam
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When an older adult is considering long-term care
insurance (LTCI), which is an important consideration? -
Answer-Carefully scrutinize all exclusions before enrolling.
An older client is pronounced brain dead, and the
attorney-in-fact or surrogate named in her POA is opposed
to organ donation; the law in the state allows a surrogate
with a POA to make end-of-life decisions. Although the
client failed to document it, family members state that the
client wanted to be an organ donator. Given the law about
a POA, what does the nurse expect the surrogate to do? -
Answer-Provide consent.
The underlying pathogenic mechanism for type 2 diabetes
is - Answer-insulin resistance and β-cell dysfunction.
Which are clinical findings usually associated with type 1
diabetes mellitus? (Select all that apply.)
Weight gain
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A. Polyphagia
B. Polyuria
C. Obesity
D. Polydipsia
E. Weight gain - Answer-ABD
Diabetes mellitus is the ________ leading cause of death
and a major cause of disability in the United States. -
Answer-seventh
An older woman accompanies her husband to the geriatric
clinic. The husband has been diagnosed with Alzheimer's
disease and needs maximum assistance with activities of
daily living (ADLs). The wife has made the decision to
place her husband in a long-term care facility as she is no
longer able to care for him. The wife expresses concern
about the cost of the long-term care facility and the worry
that all of their funds will be used to pay for the facility
leaving no funds for her own care. The nurse formulates a
response based on what understanding? - Answer-Only
one half of combined value of household goods is used to
determine eligibility for Medicaid.
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The older adult who diagnosed with type 2 diabetes
mellitus has a sensory impairment and unstable blood
sugar levels. Which of the following alterations in sensory
function does the nurse address in the plan of care for
stabilizing the blood sugar? - Answer-Has difficulty hearing
conversations in crowded rooms
Hyperglycemia is harder to detect in older adults due to
which of the following? - Answer-There is a higher
tolerance for elevated levels of circulating glucose in older
adults.
Which of the following statements is true about diabetes
mellitus? - Answer-Diabetes is diagnosed after two fasting
plasma glucose readings over 125 mg/dL.
An older adult who is a non-Hispanic Caucasian has a
fasting blood sugar level above 130 mg/dL. Which client
assessment does the nurse use to confirm a high risk for
diabetes mellitus in the client? - Answer-68 years of age
Which factor is commonly associated with the
development of cardiovascular comorbidities for those
diagnosed with type 2? - Answer-Alcohol use
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The nurse assists an older adult man who diagnosed with
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 1
day? - Answer-Monitor blood glucose levels before and
after walk.
An older adult man diagnosed with diabetes mellitus
complains to the nurse that his feet feel like they are
burning. Which of the following interventions should the
nurse recommend to this older adult to reduce his
discomfort? - Answer-Wear well-fitting shoes
The nurse recognizes which of the following signs and
symptoms as an indication of hypothyroidism in an older
adult? (Select all that apply.)
A. Decrease in thyroid-stimulating hormone (TSH) and
thyroxine (T4)
B. Heat intolerance
C. Gait disturbances
D. Palpitations