Hyperglycemia is harder to detect in older adults due to which of the following?

The classic signs of elevated glucose levels, polyuria, polyphagia, and polydipsia are rarely present in older adults

Older adults tend to metabolize glucose at a faster rate than younger adults

Fingerstick glucose monitoring is inaccurate in older adults

There is a higher tolerance for elevated levels of circulating glucose in older adults

Answer and Explanation

The Correct Answer is A

Choice A reason: The classic signs of elevated glucose levels, polyuria, polyphagia, and polydipsia are rarely present in older adults is true because older adults may have impaired thirst sensation, reduced appetite, or altered renal function that can mask these symptoms. They may also have other chronic conditions or medications that can affect their glucose levels or urine output.

Choice B reason: Older adults tend to metabolize glucose at a faster rate than younger adults is false because older adults usually have a slower metabolism and a reduced insulin sensitivity that can impair their glucose regulation. They may also have less muscle mass and more fat tissue that can affect their glucose utilization.

Choice C reason: Fingerstick glucose monitoring is inaccurate in older adults is false because fingerstick glucose monitoring is a reliable and convenient method to measure blood glucose levels in older adults, as long as they follow the proper technique and calibration. They may also benefit from using devices that have larger displays, voice output, or memory functions.

Choice D reason: There is a higher tolerance for elevated levels of circulating glucose in older adults is false because elevated levels of circulating glucose can cause serious complications in older adults, such as cardiovascular disease, kidney disease, nerve damage, or infections. Older adults may have a higher risk of developing these complications due to their age, comorbidities, or frailty.

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Correct Answer is B

Explanation

Choice A reason: Risk for injury is a potential nursing diagnosis for a client who recently experienced a stroke, but it is not the priority. Risk for injury is related to the possible complications of stroke, such as hemiparesis, hemiplegia, dysphagia, or sensory deficits, that may increase the risk of falls, aspiration, or pressure ulcers. However, these complications are secondary to the primary problem of altered cerebral perfusion, which is the cause of stroke.

Choice B reason: Altered cerebral perfusion is the priority nursing diagnosis for a client who recently experienced a stroke, because it is the most urgent and life-threatening problem. Altered cerebral perfusion is defined as a decrease in blood flow to the brain, which can result in ischemia, infarction, or hemorrhage of the brain tissue. This can lead to irreversible neurological damage, disability, or death. Therefore, the nurse should focus on restoring and maintaining adequate cerebral perfusion as the first priority.

A. Pressure ulcers B. Death C. Sepsis D. Decreased circulation/perfusion to the extremities E. Fractures

Correct Answer is ["A","B","D","E"]

Explanation

Choice A: Pressure ulcers - Physical restraints can lead to immobility, which increases the risk of pressure ulcers due to prolonged pressure on the skin.

Choice B: Death - Restraints can cause fatal accidents. For example, a person might try to remove the restraint, fall, and suffer a fatal injury.

Choice C: Sepsis - While sepsis is a severe condition often caused by an infection, it's not a direct result of physical restraints. However, if a pressure ulcer (caused by restraints) becomes severely infected, it could potentially lead to sepsis.

Choice D: Decreased circulation/perfusion to the extremities - Restraints can restrict movement, leading to decreased blood flow to the extremities.

Choice E: Fractures - Struggling against restraints can lead to falls and subsequent fractures.

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Hyperglycemia is harder to detect in older adults due to which of the following?

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Naxlex Comprehensive Predictor Exams

After completing an admission assessment on a client who recently experienced a stroke, the nurse should choose which of the following nursing diagnoses as a priority?

Correct Answer is B

Explanation

An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

The older adult who is diagnosed with type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar?

A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?

Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. As a nurse, what do you know you must do to prevent pressure ulcers? (Select all that apply.)

How is the term “health disparity” best defined?

Some things that you, as the nurse, might teach your client to help control urinary incontinence include which of the following (Select all that apply)?

A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?