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 C

Explanation

Choice A reason: Raises all four side rails is not the best intervention, as it may not prevent the client from falling and may increase the risk of injury and entrapment. Raising all four side rails may also be considered a form of restraint, which should be avoided unless absolutely necessary.

Choice B reason: Orders a two-person assist with a transfer is not the best intervention, as it may not be appropriate for the client's level of mobility and may reduce the client's independence and self-esteem. The nurse should assess the client's ability to transfer and use the appropriate assistive device and number of staff to ensure safety and comfort.

Choice C reason: Gives the client a dry erase board is the best intervention, as it can facilitate the client's communication and expression of needs and preferences. The client may have difficulty speaking or writing due to the stroke, which can affect the language and motor areas of the brain. A dry erase board can allow the client to use simple words, symbols, or drawings to convey their messages.

Choice D reason: May need to incorporate repetition is not the best intervention, as it is not specific and may not be effective for the client's learning and retention. The nurse should use individualized and evidence-based strategies to teach the client and their family about the stroke, its effects, and the rehabilitation plan. Repetition may be one of the strategies, but not the only one.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best intervention for the nurse to implement when caring for this client.

A. Turn immobile clients every 2 hours off bony prominences. B. Use lift or draw sheets to move clients in bed. C. Keep the moist D. Ensure that your client maintains a healthy nutritional status. E. Apply pressure-relieving devices to vulnerable areas.

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

Explanation

Choice A reason: Turning immobile clients every 2 hours off bony prominences can reduce the pressure and friction that can cause skin breakdown and ulcer formation.

Choice B reason: Using lift or draw sheets to move clients in bed can prevent dragging or pulling the skin, which can cause shear and damage the underlying tissue.

Choice C reason: Keeping the skin moist is not a correct way to prevent pressure ulcers. Moisture can weaken the skin and make it more prone to injury. The skin should be kept dry and clean, and moisturized if needed.

Choice D reason: Ensuring that your client maintains a healthy nutritional status can promote wound healing and prevent infection. Adequate protein, calories, vitamins, and minerals are essential for skin integrity and tissue repair.

Choice E reason: Applying pressure-relieving devices to vulnerable areas can distribute the pressure and protect the skin from damage. Examples of pressure-relieving devices are foam pads, air mattresses, or cushions.

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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

The nurse in a rehabilitation center is caring for a client diagnosed with new-onset stroke with right-side hemiparesis. Which intervention should the nurse implement when caring for this client?

Correct Answer is C

Explanation

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.)

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

Explanation

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