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.
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: A detached retina is a serious condition that occurs when the retina, the light-sensitive layer of tissue at the back of the eye, separates from its underlying support tissue. It can cause vision loss or blindness if not treated promptly. However, it does not usually cause intense headaches or bloodshot eyes, but rather flashes of light, floaters, or a curtain-like shadow over the visual field.
Choice B reason: Macular degeneration is a common eye disorder that affects the macula, the central part of the retina that is responsible for sharp and detailed vision. It can cause blurred or distorted vision, especially in the center of the visual field. However, it does not usually cause intense headaches or bloodshot eyes, but rather difficulty reading, recognizing faces, or seeing colors.
Choice C reason: Cataracts are cloudy areas in the lens of the eye that can impair vision. They are usually related to aging, but can also be caused by other factors such as diabetes, trauma, or radiation. They can cause blurred or dim vision, sensitivity to light, or halos around lights. However, they do not usually cause intense headaches or bloodshot eyes, but rather gradual and painless vision loss.
Choice D reason: Angle-closure glaucoma is a type of glaucoma that occurs when the drainage angle of the eye becomes blocked, causing a sudden increase in the pressure inside the eye. It can damage the optic nerve and lead to permanent vision loss if not treated immediately. It can cause intense headaches, bloodshot eyes, blurred vision, nausea, vomiting, or seeing rainbow-colored rings around lights. It is a medical emergency that requires immediate attention.
Correct Answer is A
Explanation
Choice A reason: Crushing chest pain is the classic sign of an AMI, but it can be absent in some older men with an AMI. This is because older men may have a reduced pain perception due to aging, diabetes, or other conditions that affect the nerve endings. Older men may also have atypical or silent AMIs, which do not cause chest pain or other obvious symptoms.
Choice B reason: Epigastric burning is not a classic sign of an AMI, but it can be a symptom of an AMI in some older men. Epigastric burning may be mistaken for indigestion, heartburn, or gastritis, but it can also indicate ischemia or injury to the lower part of the heart.
Choice C reason: Dyspnea and fatigue are not classic signs of an AMI, but they can be symptoms of an AMI in some older men. Dyspnea and fatigue may be attributed to aging, deconditioning, or other chronic diseases, but they can also indicate reduced oxygen supply to the heart and the body.
Choice D reason: Vague complaints are not classic signs of an AMI, but they can be symptoms of an AMI in some older men. Vague complaints may include anxiety, restlessness, nausea, dizziness, or weakness, which may be overlooked or dismissed as minor ailments, but they can also indicate a serious cardiac event.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the classic sign of an AMI that can be absent in an older man with an AMI.
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