A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit
Which finding by the nurse is most important to discuss with the health care provider?
a. Hemoglobin A1C level is 7.9%.
b. Last eye exam was 18 months ago.
c. Glomerular filtration rate is decreased.
d. Patient has questions about the prescribed diet.
ANS: C
The decrease in renal function may indicate a need to adjust the dose of metformin or change to a different medication. In older patients, the goal for A1C may be higher in order to avoid complications associated with hypoglycemia. The nurse will plan on scheduling the patient for an eye exam and addressing the questions about diet, but the biggest concern is the patient's decreased renal function.
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An older adult client tells the nurse, "My life has been a waste." The nurse recognizes this statement as demonstrating which aspect of psychosocial development?
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The roles of the state boards of nursing can include:
a. overseeing schools of nursing within the states. b. enforcing the individual state's nurse practice acts. c. disciplining nurses. d. all of the above.