The nurse teaching a 79-year-old with type 2 diabetes about the ...

[Lisaclaire]

The nurse teaching a 79-year-old with type 2 diabetes about the importance of regular exercise suggests that the patient
 
  a. swim 10 laps in the community center pool three times a week.
  b. enroll in a daily lunch time aerobics class at the senior center.
  c. lift 5 pound weights in a routine of 10 re-petitions in each arm.
  d. walk on the treadmill each morning for 30 minutes.

Question 2

Which documentation demonstrates that the nurse effectively assessed an older adult diabetic patient's cardiac status?
 
  a. radial pulse: 88 and regular
  b. carotid pulses equal and strong
  c. BP 126/78 recumbent and 122/78 sitting
  d. nail beds pale in color

[coreycathey]

Answer to Question 1

D
Older adults may derive the greatest benefit from morning exercise because that is the time of greatest insulin resistance. However, any exercise is better than no exercise at all. Aerobic exer-cise should be balanced with weight training.

Answer to Question 2

C
To assess circulation, the nurse should take an apical pulse, noting rate and rhythm; check pedal pulses bilaterally; and note the presence of hair on the lower extremities. The nurse should take blood pressure measurements with the patient in both recumbent and sitting positions, note any dizziness associated with a change of position, and assess the respiratory rate, depth, and chest sounds.