The nurse is caring for an older patient with type 2 diabetes mellitus. What is the teaching priority for this patient?

Question

1. Provide written instructions in large print
2. Create a plan for hypoglycemic episodes
3. Provide instructions for good skin care
4. Educate regarding diabetic foot care

Answer 1

2. Create a plan for hypoglycemic episodes

Explanation: 1. Decreased vision acuity should be addressed with written materials in large print, but this is not the highest priority.
2. Glycemic control increases the risk of hypoglycemic episodes. Older people who live alone, those with cognitive or physical deficits, or those with serious underlying chronic illnesses are more likely to suffer serious consequences from hypoglycemic episodes. This is the priority.
3. Frequent skin infections could occur with blood glucose levels that are excessively elevated, but this is not a priority.
4. Foot ulcers could occur with blood glucose levels that are excessively elevated and instruction should be provided. However, this is not a priority.