Author Question: The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine ... (Read 38 times)

nramada · **on:** Jun 25, 2018

The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?

1. decreased sensitivity to insulin
2. more rapid insulin release
3. intolerance of fatty foods
4. lower and prolonged blood glucose levels

Question 2

A patient is having a 17-keosteroid test performed. What statement by the patient indicates that teaching about this test has been effective?

1. I will store the specimen container in the refrigerator.
2. I shouldn't eat or drink anything before this test.
3. I know this test will be helpful in diagnosing my thyroid problem.
4. I will arrive early to have my blood drawn.

skipfourms123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Decreased sensitivity to insulin and delayed and decreased insulin release are seen in the older patient diagnosed with type 2 diabetes. Intolerance of fatty foods occurs in older adults but is not specific to the older patient with type 2 diabetes. Blood glucose levels are higher and prolonged in the older patient with diabetes.

Answer to Question 2

Correct Answer: 1
The 17-ketosteroid test is a 24-hour collection of urine to evaluate adrenal cortex function. The patient is instructed to collect urine in a container in preservative and store it in the refrigerator. There are no food or fluid restrictions and the test does not include having blood drawn.