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, Glucose intolerance is common in the older adult, which causes a higher
incidence of diabetes in that population. What is the most significant factor
leading to glucose intolerance among older adults? - Answer: Obesity and
inactivity in an older adult lead to glucose intolerance.
Early diagnosis for diabetes mellitus in the older adult is more difficult due
to the presentation of nonspecific manifestations of the disease. Therefore,
how often should the nurse obtain fasting blood glucose levels to determine
a diagnosis? - Answer: Every 3 years for the adult beginning at age 45 years
Educating the patient with diabetes about self-care concerns, including skin
care, is critical. One of the major complications of diabetes mellitus is ulcer
development on the feet. What teaching points should the nurse provide to
the patient with diabetes? - Answer: Wear shoes and socks at all times;
never walk barefooted.
A nurse is talking with an older adult patient who unexpectedly mentions
having trouble sleeping. What tool besides the Pittsburgh Sleep Quality
Index (PSQI) can the nurse use to assess for sleep disorders? - Answer:
SPICES: An Overall Assessment Tool for Older Adults
Assessing the health of the older adult can be challenging due to several
factors. What is the most significant factor contributing to the complexity of
assessing health and functioning in the older adult? - Answer:
Manifestations of illnesses, even acute, tend to be obscure and less
predictable in older adults.