The nurse caring for an older adult with type 2 diabetes mellitus ...

[go.lag]

The nurse caring for an older adult with type 2 diabetes mellitus places importance on assessing the patient for
 
  a. painful nodules on the fingers and toes.
  b. reddened rash and brittle nails on the hands.
  c. heartburn and flatus after meals.
  d. skin temperature and hair growth pattern on the legs.

Question 2

The nurse is aware of the typical occurrence of comorbidities in the older adult. Motivated by this knowledge, the nurse assesses a patient with diagnosed respiratory dysfunction for possible
 
  a. poor wound healing of the legs and feet.
  b. ineffective absorption of vitamins and minerals.
  c. abnormal urine protein levels.
  d. visual problems including retinal detach-ment.

[trampas]

Answer to Question 1

D
Insulin resistance causes increased production of inflammatory cytokines correlating with the development of type 2 diabetes mellitus and atherosclerotic vascular disease, therefore skin tem-perature and hair growth pattern on the legs should be assessed.

Answer to Question 2

A
In addition, older patients are more likely to have comorbidities involving the cardiovascular and respiratory systems. Peripheral circulation is a possible cardiovascular problem that would result in poor wound healing. The other options are not related to having a respiratory dysfunction.