Which is the best goal when planning nursing care for an older client diagnosed with diabetes mellitus?

Set walking distance goals.

Stabilize the serum glucose.

Plan for consistent exercise.

Facilitate self-management.

None of the above.

Answer and Explanation

The Correct Answer is D

Choice A reason: Set walking distance goals is not the best goal, as it is too specific and may not be appropriate for all older clients with diabetes. Walking distance may vary depending on the client's physical condition, comorbidities, and preferences.

Choice B reason: Stabilize the serum glucose is not the best goal, as it is too vague and does not reflect the client's involvement in their care. Serum glucose levels may fluctuate depending on various factors, such as diet, medication, stress, and infection.

Choice C reason: Plan for consistent exercise is not the best goal, as it is not comprehensive and does not address other aspects of diabetes management, such as nutrition, medication, and monitoring. Exercise is only one component of a holistic care plan for older clients with diabetes.

Choice D reason: Facilitate self-management is the best goal, as it encompasses all the elements of diabetes care and empowers the client to take charge of their health. Self-management involves educating the client about diabetes, providing support and resources, and encouraging adherence to the prescribed treatment regimen.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best goal for planning nursing care for an older client with diabetes mellitus.

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Correct Answer is D

Explanation

Choice A reason: Corn is not a food that does not increase blood glucose. Corn is a starchy vegetable that contains carbohydrates, which can raise blood glucose levels.

Choice B reason: White bread is not a food that does not increase blood glucose. White bread is made from refined flour, which has a high glycemic index and can spike blood glucose levels.

Choice C reason: Baked beans are not a food that does not increase blood glucose. Baked beans are high in sugar and carbohydrates, which can affect blood glucose levels.

Choice D reason: Broccoli is a food that does not increase blood glucose. Broccoli is a non-starchy vegetable that is low in carbohydrates and high in fiber, which can help regulate blood glucose levels.

A. FACE pain rating scale B. OLDCART-based assessment tool C. PAINAD scale D. 0 to 10 numeric pain scale E. None of the above

Correct Answer is C

Explanation

Choice A reason: FACE pain rating scale is not the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the patient's ability to match their pain intensity to a series of facial expressions. The patient may not be able to understand or use the scale appropriately.

Choice B reason: OLDCART-based assessment tool is not the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the patient's ability to provide detailed information about the onset, location, duration, characteristics, aggravating factors, relieving factors, and treatment of their pain. The patient may not be able to recall or communicate this information effectively.

Choice C reason: PAINAD scale is the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the nurse's observation of the patient's behavior and physiological responses to pain. The scale consists of five items: breathing, vocalization, facial expression, body language, and consolability. Each item is scored from 0 to 2, and the total score ranges from 0 to 10. A higher score indicates more pain.

Choice D reason: 0 to 10 numeric pain scale is not the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain, as it relies on the patient's ability to rate their pain intensity on a scale from 0 (no pain) to 10 (worst possible pain). The patient may not be able to comprehend or use the scale correctly.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the most useful assessment tool for a cognitively impaired patient who cannot accurately report pain.

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Which is the best goal when planning nursing care for an older client diagnosed with diabetes mellitus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When teaching a client about foods that do not increase blood glucose, which should the nurse include?

Correct Answer is D

Explanation

For a cognitively impaired patient who cannot accurately report pain, which assessment tool would be most useful?

Correct Answer is C

Explanation

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