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Comprehensive Review for Diabetes Management, Stroke Types and Symptoms, Heart Failure Staging, COPD
Care, Insulin Therapy, and Key Lab Values
SUBJECT COURSE FOCUS
Gerontological Nursing NUR 257 Exam 3 Chronic Disease Management
Question 1
For the elderly client with diabetes mellitus, what is important to note?
A. It is diagnosed in the late stages due to lack of symptoms in early stage
B. Symptoms are always present early
C. It is easily diagnosed at routine visits
D. Older adults rarely develop diabetes
CORRECT ANSWER
A. It is diagnosed in the late stages due to lack of symptoms in early stage
Question 2
What does A1C measure?
A. Average blood glucose over 3 months
B. Current blood glucose level
C. Fasting blood glucose
D. Postprandial blood glucose
CORRECT ANSWER
A. Average blood glucose over 3 months
,Question 3
If an elderly client has an acute illness with inability to take oral medications for diabetes, what should
the nurse do?
A. Contact PCP
B. Hold all medications
C. Double the next dose
D. Administer insulin
CORRECT ANSWER
A. Contact PCP
Question 4
Why should caution be taken when giving metformin to the elderly?
A. Because of declining kidney function in the elderly resulting in further decline
B. Because it causes hypoglycemia
C. Because it causes weight gain
D. Because it interacts with many medications
CORRECT ANSWER
A. Because of declining kidney function in the elderly resulting in further decline
, Question 5
What are some education points for elderly patients with diabetes mellitus about hypoglycemia?
A. Brain needs constant glucose supply; provide milk and glucagon if patient passes out or is unable to take
sugar by mouth; glucagon can be injected at first sign of hypoglycemia; patient should have glucagon on
them at all times
B. Only treat with oral glucose
C. Glucagon is not necessary for elderly patients
D. Only family members should administer glucagon
CORRECT ANSWER
A. Brain needs constant glucose supply; provide milk and glucagon if patient passes out or is
unable to take sugar by mouth; glucagon can be injected at first sign of hypoglycemia; patient
should have glucagon on them at all times
Question 6
What do feelings of pins/needles in the feet usually indicate in diabetic patients?
A. Increased blood glucose levels (neuropathy)
B. Normal aging
C. Vitamin deficiency
D. Peripheral vascular disease
CORRECT ANSWER
A. Increased blood glucose levels (neuropathy)