Author Question: The nurse feels most confident that an older patient is prepared to assume self-management of new ... (Read 23 times)

Beheh · **on:** Jul 11, 2018

The nurse feels most confident that an older patient is prepared to assume self-management of new type 2 insulin-dependent diabetes when the patient

a. is heard asking her son to check the insu-lin's expiration date.
b. is able to identify the symptoms of hy-poglycemia.
c. asks why she needs to test her glucose le-vels so frequently.
d. inquires why she needs to have an A1C test every 3 months.

Question 2

A nurse is watching a parade during the summer and notices an older adult looking faint and acting somewhat confused. The patient has hot dry skin. While waiting for the rescue squad, what action by the nurse is most effective?

a. Spraying the person with a water mist
b. Giving the person iced tea to drink
c. Having the person sit down on the grass
d. Pouring cold water over the person's head

babybsemail · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Adherence is greatly improved when the patient is in agreement with the treatment plan and shows a willingness to follow it. The patient is requesting help ensuring that the insulin is not expired. Knowledge about symptoms does not equate with adherence. Asking questions does not indicate adherence or not.

Answer to Question 2

A
Spraying the person with a cold-water mist will help dissipate heat, especially if the nurse then fans the person. Iced tea is a diuretic and will increase fluid loss. Having the person sit down is a good idea, as long as the person sits in the shade. Pouring cold water over the person's head is not as effective as a water spray mist.