Which is the most likely reason that type 2 diabetes mellitus is often difficult to diagnose in older adults?
a. Presenting symptoms occur very quickly.
b. The disease rarely occurs in older adults.
c. The classic symptoms may not be present in older adults.
d. There are no recognizable symptoms; it is a "silent killer."
ANS: C
The symptoms are also often masked by normal aging changes and conditions common in older adults. Polydipsia often does not occur due to the decreased thirst mechanism in older adults, polyphagia is often not recognized due to normal appetite declines associated with aging, and polyuria is often not recognized due to frequent urinary tract infections in older adults. Present-ing symptoms usually occur very slowly. Type 2 diabetes mellitus is very common in older adults. There are symptoms of diabetes mellitus in older adults; however, they may be different than those seen in younger adults.
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A client is prescribed inhaled corticosteroid therapy along with bronchodilator therapy. Which of the following points should the nurse include in the teaching plan?
A) "Stop corticosteroid therapy immediately if you notice any adverse effects." B) "Before each dose of corticosteroid, rinse the mouth thoroughly with water." C) "The corticosteroid drug provides rapid relief during an asthma attack." D) "Take the corticosteroid several minutes after the bronchodilator dose."
A client with Hodgkin's disease is at risk for impaired skin integrity due to pruritus. Which of the following interventions should a nurse perform to ensure the client's skin will remain intact throughout the care?
A) Place the client in high Fowler's position. B) Apply ice to the skin for brief periods. C) Avoid soap for bathing. D) Pull the client across sheets when changing positions.
A staff nurse began a graduate program focusing on health systems management. To be prepared as an effective leader in a health care agency, the staff nurse would probably benefit the most from instruction in which area?
a. Information systems b. Computerized charting c. Computerized medical records d. Self-regulation of nursing practice
The patient receives hydrochlorothiazide (HydroDIURIL). He tells the nurse he is urinating a lot and questions how this drug affects his blood pressure. What is the best response by the nurse?
1. "Hydrochlorothiazide (HydroDIURIL) enhances kidney function causing you to urinate more and that decreases your blood pressure." 2. "Hydrochlorothiazide (HydroDIURIL) decreases the fluid in your bloodstream and this lowers your blood pressure." 3. "Hydrochlorothiazide (HydroDIURIL) dilates your blood vessels so you urinate more and your blood pressure decreases." 4. "Hydrochlorothiazide (HydroDIURIL) increases your heart rate; this pumps blood faster to your kidneys so you urinate more and your blood pressure decreases."