The older adult who has type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar?
a. Requires reading glasses at 2.0 strength.
b. Has difficulty hearing in crowded rooms.
c. Enjoys spicy food more than bland food.
d. Awakens with periodic left-foot numb-ness.
B
The nurse focuses on the hearing impairment to plan care for stabilizing this patient's blood glu-cose level; hearing impairment is a factor that affects blood glucose control in older adults with diabetes mellitus. Reading glasses at 2.0 are medium-strength glasses, and the need for such glasses is common and not considered a visual impairment. A preference for spicy food does not indicate an impaired sense of taste. Although numbness is a sensory impairment, episodic numbness associated with sleeping is more likely to be due to a poorly positioned extremity.
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