Author Question: A diabetes nurse is providing an educational in-service to nurses who provide care on a geriatric, ... (Read 52 times)

lak · **on:** Jul 11, 2018

A diabetes nurse is providing an educational in-service to nurses who provide care on a geriatric, subacute medical unit of hospital.

Which of the following teaching points related to diagnosing diabetes in older adults should be included in the teaching? A) Older adults with a new onset of diabetes will be hungry and thirsty with copious urine output..
B) Because of an absence of signs and symptoms in older adults with diabetes, diagnosis can be very difficult..
C) Older persons can often display signs and symptoms of diabetes that are more subtle than those in younger adults..
D) Pancreatic biopsy is often required in order to determine a definitive diagnosis of diabetes in the elderly..

Question 2

A patient with newly diagnosed hypertension tells the nurse he uses a lot of salt on his foods and has not been able to lose the 30 pounds that he has gained in the last 10 years.

He does not understand why he has hypertension, since he is not an anxious person. Which nursing diagnosis does the nurse identify for this patient? a. Ineffective health maintenance related to the lack of knowledge of disease process and management
b. Risk of noncompliance related to lifestyle patterns
c. Disturbed body image related to diagnosis of hypertension
d. Anxiety related to complexity of management regimen and lifestyle changes associated with hypertension

Ashley I · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Feedback:
Signs and symptoms of diabetes are often nonspecific, though not absent, in older adults. Pancreatic biopsy is not necessary for the diagnosis of diabetes.

Answer to Question 2

A
Hypertension is a blood pressure higher than 140/90 mm Hg, which increases and individual's risk of developing cardiovascular disease. Adhering to medical therapy for control of elevated blood pressure helps to modify the individual's risk.