Author Question: An older patient who has been treated for diabetes mellitus for 10 years continues to have ... (Read 79 times)

leo leo

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An older patient who has been treated for diabetes mellitus for 10 years continues to have difficulty controlling the blood glucose level. Which potential complication of diabetes should the diabetes educator include when instructing this patient?
 
  A) Signs of congestive heart failure
  B) Signs of a myocardial infarction
  C) Complications of arteriosclerosis
  D) Complications of cardiac arrhythmias

Question 2

An older patient with a history of anginal syndrome and congestive heart failure is admitted to the Cardiac Care Unit with a myocardial infarction. Which assessment finding should the nurse report to the health care provider?
 
  A) Early morning fatigue
  B) Increase in respiratory rate
  C) Dyspnea when getting out of bed to sit in a chair
  D) Decrease in blood pressure and increase in temperature



reversalruiz

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Answer to Question 1

C
Feedback:
Persons with diabetes have a higher risk of developing peripheral vascular problems and complications leading to arterial insufficiency. Persons with diabetes do not necessarily have a higher risk of developing congestive heart failure, myocardial infarction, or cardiac arrhythmias.

Answer to Question 2

D
Feedback:
Vital signs must be checked regularly. A temperature elevation can reflect an infection or another myocardial infarction. A drop in blood pressure can cause insufficient circulation. Early morning fatigue is to be expected after experiencing a myocardial infarction. An increased respiratory rate would not be reportable unless the patient has a drop in oxygen saturation. Dyspnea with position change would be expected immediately after experiencing a myocardial infarction.



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