vSim - Sherman "Red" Yoder Exam
Questions with 100% Correct Answers
Early diagnosis for diabetes mellitus in the older adult is more difficult due
to the presentation of nonspecific manifestations of the disease. Therefore,
how often should the nurse obtain fasting blood glucose levels to deter...
occur, causing a lack of sensation with numbness and weak pulses. The
patient may develop gangrene as a result. Therefore, wearing socks and
shoes will help the patient with diabetes avoid cuts and scrapes that may
become problematic. The nurse should notify the physician of any
peripheral vascular disease; educating the patient with diabetes in proper
foot care and in the early detection of problems may reduce the risk of
these problems. Feet should be inspected daily (not monthly) for cuts,
blisters, and red spots and swelling. Patients with diabetes are at great risk
for developing fungal infections form normal foot perspiration. They must
take great care when trimming toenails; it is best to use an emery board or
nail file instead of scissors to groom the toenails. Feet should be softened
with a thin coat of skin lotion over the tops and bottoms of the feet, but not
between the toes. Powdering after using lotion can lead to areas with
thickened coatings of powder and lotion, which may cause further damage.
The older adult with diabetes mellitus may present manifestations of
hypoglycemia that differ from the classic symptoms of tachycardia,
restlessness, and anxiety. What symptom might indicate hypoglycemia in
the older adult?
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