The nurse is teaching management of type 2 diabetes mellitus to a group of older adults. Which participant statement indicates that additional instruction is needed?
1. "I will keep some hard candy with me at all times."
2. "I will start a walking program with my neighbors."
3. "If I'm sick, I will call my doctor to see if I should take my medicine."
4. "If I start to feel nervous, sweaty, or shaky, I will drink a glass of water."
4. "If I start to feel nervous, sweaty, or shaky, I will drink a glass of water."
Explanation: 1. The older patient with type 2 diabetes mellitus should be instructed to have a source of glucose readily available at all times in the event symptoms of hypoglycemia develop.
2. The older patient with type 2 diabetes mellitus would benefit from regular exercise, which could include a walking program. Patients are instructed to walk with a partner or group with the same or similar stamina level.
3. The older patient with type 2 diabetes mellitus should talk with the physician about medication doses if unable to eat since taking the medication could cause an onset of hypoglycemia.
4. The older patient with type 2 diabetes mellitus should be instructed to recognize the manifestations of hypoglycemia, which include nervousness and diaphoresis so that a carbohydrate source can be ingested. Water will not provide needed carbohydrates.
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