HESI Case Study Gerontology: Age-Related Risks verified to pass 2024/2025
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Course
Geriatric hesi
Institution
Geriatric Hesi
HESI Case Study Gerontology: Age-Related RisksCarl Rogers is a 67-year-old African American male with a 20-year history of type 2 diabetes mellitus. After a scheduled visit and an assessment at the healthcare provider's office (HCP's), Mr. Rogers is directly admitted to the medical unit with a stag...
HESI Case Study Gerontology: Age-
Related Risks
Carl Rogers is a 67-year-old African American male with a 20-year history of type 2 diabetes mellitus. After a scheduled visit and an assessment at the healthcare provider's office (HCP's), Mr. Rogers is directly admitted to the medical unit with a stage II non-healing ulcer on his right heel. The nursing admissions paperwork is completed, and pain medication is administered. During his admissions assessment, Mr. Rogers is diagnosed with a urinary tract infection (UTI) and dehydration. - correct answer The RN understands that which statement is accurate regarding type 2 diabetes mellitus in the aging client? - correct answer The risk for coexisting diseases such as hypertension and stroke increases with aging
Which information about the client is of most concern to the RN? - correct answer C) Reports a new onset of blurry vision
What other symptom(s) should the RN expect to find in a client with a diagnosis of diabetic retinopathy?
- correct answer A) Reports of floaters
B) Loss of vision
D) Difficulty with color perception
The RN understands that which information is correct regarding the prescribed insulin? - correct answer
C) Glargine (lantus) does not have a peak interval
What conditions, other than hypoerglyceia, might Mr. Rogers have? - correct answer C) Ketonuria
D) Osmotic diuresis E) Glycosuria
In addition to the insulin, which of the following immediate measures would be indicated in the treatment of Mr. Rogers? SELECT ALL THAT APPLY - correct answer C) Potassium supplements
D) Sodium bicarbonate E) 0.9% normal saline
The RN sets the insulin drip to deliver how many mL/hr? - correct answer 3 mL/hr
Which pattern should the nurse report immediately to the HCP? - correct answer A) ST depression and "U" waves
Which lab value needs to be reported immediately? - correct answer B) Arterial pH 7.05 mg/dL
The RN understands that which symptoms are associated with diabetic peripheral neuropathy? SELECT ALL THAT APPLY - correct answer A) Reduced ability to feel pain or temperature in the extremities D) Problems with erectile dysfunction E) Extreme sensitivity to touch
Which instruction related to bath safety is best? - correct answer D) Use a bath thermometer to ensure that the temperature is below 102 degrees F
Prior to changing the dressing on Mr. Rogers' right heel ulcer, the nurse should first take which actions? - correct answer A) Inspect the feet carefully for temperature, sensation, and drainage
Which of the following actions will help to maintain skin integrity? SELECT ALL THAT APPLY - correct answer A) Use heel protectors B) Use special mattress or foot cradles
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