The older adult who has type 2 diabetes mellitus has a sensory impairment and unstable blood sugars. Which alteration 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 numbness
B
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A Incorrect. Reading glasses at 2.0 are medium-strength glasses, and the need for such glasses is very common and not considered a visual impairment.
B Correct. The nurse focuses on the hearing impairment to plan care for stabilizing his blood glucose, because a hearing impairment is a factor affecting blood glu-cose control in older adults with diabetes mellitus.
C Incorrect. A preference for spicy food does not indicate an impaired sense of taste.
D Incorrect. Although numbness is a sensory impairment, episodic numbness as-sociated with sleeping is more likely to be due to a poorly positioned extremity.
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