A nurse is educating an older adult with diabetes mellitus on ...

[crobinson2013]

A nurse is educating an older adult with diabetes mellitus on minimizing the risk of cardiovascu-lar disease. The nurse focuses on lipid levels. Which of the following are the recommended goals for lipid levels? (Select all that apply.)
 
  a. Cholesterol <200
  b. Low-density lipoprotein (LDL) >100
  c. High-density lipoprotein (HDL) >40 (men), >50 (women)
  d. Hb A1C value of 6.5
  e. Triglycerides <150

Question 2

An older adult with type 2 DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this pa-tient?
 
  a. A walking program is not recommended for an older adult with diabetes.
  b. The walking regimen needs to be done on a regularly scheduled basis.
  c. Regular exercise should not exceed 30 minutes three times a week.
  d. Insulin can most probably be discontinued if the individual adheres to the walking program.

[potomatos]

Answer to Question 1

ANS: A, C, E
Goals for acceptable lipid levels include: Cholesterol <200, LDL <100, HDL >40 (men), >50, (women) and triglycerides <150. Hb A1C levels are not a measure of lipids.

Answer to Question 2

ANS: B
If the person is using insulin, exercise needs to be done on a regular rather than an erratic basis. Exercise is an important part of diabetes self-management. In some cases, exercise in conjunction with an appropriate diet may be sufficient to maintain blood glucose levels within normal levels; however, it is not likely that insulin will be able to be discontinued.

[crobinson2013]

Thank you

[potomatos]

No problemo