Author Question: Which of the following would be included in the assessment of a patient with diabetes mellitus who ... (Read 36 times)

Mr3Hunna · **on:** Jul 22, 2018

Which of the following would be included in the assessment of a patient with diabetes mellitus who is experiencing a hypoglycemic reaction? (Select all that apply.)

a. Tremors
b. Nervousness
c. Extreme thirst
d. Flushed skin
e. Profuse perspiration
f. Constricted pupils

Question 2

The home care nurse is assessing an older patient diagnosed with mild cognitive impairment (MCI) in the home setting. Which information is of concern?

a. The patient's son uses a marked pillbox to set up the patient's medications weekly.
b. The patient has lost 10 pounds (4.5 kg) during the last month.
c. The patient is cared for by a daughter during the day and stays with a son at night.
d. The patient tells the nurse that a close friend recently died.

parshano · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, B, E
When hypoglycemia occurs, blood glucose levels fall, resulting in sympathetic nervous system responses such as tremors, nervousness, and profuse perspiration. Dilated pupils would also occur, not constricted pupils. Extreme thirst, flushed skin, and constricted pupils are consistent with hyperglycemia.

Answer to Question 2

ANS: B
A 10-pound weight loss in 1 month could indicate cancer or may be an indication of further progression of memory loss. Depression is also another common cause of weight loss. The use of a marked pillbox and planning by the family for 24-hour care are appropriate for this patient. It is not unusual that an older patient would have friends who have died.