Diabetes in Older Adults VSim
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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?
a) Monthly for the adult older than age 65 years
b) Yearly for the adult older than age 65 years
c) Every 3 years for the adult older than age 65 years
d) Every 3 years for the adult beginning at age 45 years
Answer: d) Every 3 years for the adult beginning at age 45 years
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What criterion establishes the diagnosis of diabetes in the older adult?
, a) Blood glucose concentrations 2 hours after an oral glucose intake that is
greater than or equal to 200 mg/dL during an oral glucose tolerance test.
b) Blood glucose concentration 2 hours after an oral glucose intake that is
greater than 125 mg/dL during an oral glucose tolerance test.
c) Symptoms of disease and a random blood glucose concentration of
greater than 350 mg/dL.
d) Fasting blood glucose concentration greater than or equal to 225 mg/dL.
Answer: a) Blood glucose concentrations 2 hours after an oral glucose
intake that is greater than or equal to 200 mg/dL during an oral glucose
tolerance test.
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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?
a) Trim the toenails with scissors whenever needed.
b) Wear shoes and socks at all times; never walk barefooted.
c) Lubricate the feet with petroleum jelly followed with a fresh powder
scattered between the toes.
d) Inspect the feet every month.
Answer: b) Wear shoes and socks at all times; never walk barefooted.