Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 19 The Endocrine System
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Gerontological Nursing, 4e (Tabloski) Chapter 19 The Endocrine System
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Gerontological Nursing, 4e (Tabloski)Chapter 19 The Endocrine System
Therlabrresultsrforranrolderrpatientrindicaterarglycosylatedrhemoglobinr(HbA1c)rresultrofr6.5%.rW
hatrisrthernurse'srbestrresponsertortherpatient?
1. "Yourrbloodrsugarrlevelsrhaverbeenrwithinrnormalrlimitsrforrtherpastrthreermonths."
2. "YourrHbA1crlevelrindicatesrarpatternrofrlowrbloodrglucoserlevels."
3. "YourrHbA1crindicatesrthatryourareranemicrandrwillrrequirerarbloodrtransfusion."
4. "Yourraveragerbloodrglucoserlevelraveragedr126rmg/dlroverrtherpastr3rmonths,rwhichrisrhigh."rAns
wer:r 4
Explanation:r 1.rAnrHbA1crofr6.5%risrhighrandrisrnotrwithinrnormalrlimits.
2. Glycosylatedrhemoglobinrofr6.5%rindicatesrarpatternrofrhighrbloodrglucose,rnotrlow.
3. Glycosylatedrhemoglobinrisrnotrusedrtordiagnoseranemia.
4. Glycosylatedrhemoglobinrestimatesrarpatient'srbloodrglucoseroverrtherpastr3rmonthsrbyrmeasurin
grhowrmuchrglucoserisrattachedrtortherhemoglobinrinrredrbloodrcells,rwhichrhaveranraveragerliferspa
nrofraboutr4rmonths.rAnrHbA1crofr6.5rrelatesrtoranraveragerglucoserlevelrofr126rmg/dl.rArnormalrgly
cosylatedrhemoglobinrresultrisr5.0%.
PagerRef:r504
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PhysiologicalrAdaptationrNurs/Integr
Conc.:r NursingrProcess:rAssessment
LearningrOutcome:r 4.rUnderstandruniquerpresentationsrofrdiabetesrandrthyroidrproblemsrinrtherolderr
person.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,1) Thernurserisrplanningrinterventionsrtorachieverthergoalrofrmaintainingrglycemicrcontrolrforranrold
errpatientrwithrtyper2rdiabetesrmellitus.rWhichrinterventionsrwillrthernurserincluderinrthisrpatient'srpl
anrofrcare?rSelectrallrthatrapply.
1. Teachrtorpreventrhypoglycemia.
2. Emphasizertherrolerofrphysicalrexercise.
3. Reviewrthermanifestationsrofrcomplications.
4. Stressrtherimportancerofravoidingrcarbohydrates.
5. Instructrinrself-
monitoringrofrbloodrglucoserlevels.rAnswer:r 1,r2,r3,r5
Explanation:r 1.rThergoalsrofrmanagingrdiabetesrmellitusrinrtherolderrpatientrincluderachievingrglycem
icrcontrolrthroughrrecognition,rtreatment,randrpreventionrofrhypoglycemia.
2. Thergoalsrofrmanagingrdiabetesrmellitusrinrtherolderrpatientrincluderachievingrglycemicrco
ntrolrthroughrregularrphysicalractivity.
3. Thergoalsrofrmanagingrdiabetesrmellitusrinrtherolderrpatientrincluderachievingrglycemicrco
ntrolrthroughrprevention,rearlyrdetection,randrtreatmentrofrchronicrcomplications.
4. Thergoalsrofrmanagingrdiabetesrmellitusrinrtherolderrpatientrdornotrincludertherachievementrofrgly
cemicrcontrolrthroughrrestrictingrtherintakerofrcarbohydrates.
5. Thergoalsrofrmanagingrdiabetesrmellitusrinrtherolderrpatientrincluderachievingrglycemicrcontr
olrthroughrself-managementrtechniquesrsuchrasrself-
monitoringrofrbloodrglucoserlevels.rPagerRef:r524
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PhysiologicalrAdaptationrNurs
/IntegrConc.:r NursingrProcess:rPlanning
LearningrOutcome:r 5.rApplyrappropriaternursingrinterventionsrdirectedrtowardrassistingrolderradultsr
withrendocrinerproblemsrtordeveloprself-carerabilities.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 2) Whyrshouldrthernursercounselranrolderrpatientrwithrarhistoryrofroccasionalrhighrbloodrglucoserleve
lsrtorstoprsmoking?
1. TorpreventrneedrforrHgA1Crmonitoring
2. Torpreventrrapidrweightrgain
3. Torreducertherriskrofrdevelopingrtyper2rdiabetesrmellitus
4. Torreducertherriskrofrinsulinrdependencer
Answer:r 3
Explanation:r 1.rHgA1Crwouldrberrequiredrforrarpatientrwhorhasrbeenrdiagnosedrwithrdiabetes.rSm
okingrincreasesrtherriskrofrnon-
insulinrdependentrdiabetes.rSmokingrcessationrisronerofrfiverlifestylerfactorsrthatrwillrreducertherris
krofrdevelopingrtyper2rdiabetesrmellitus.
2. Smokingrcessationrtechniquesrincluderhealthyrcopingrmechanismsrsuchrasrexercise.rManyrs
mokertorloserweightrandrmayrhaverarslowrweightrgainrwithrcessation.
3. Smokingrcessationrisronerofrfiverlifestylerfactorsrthatrwillrreducertherriskrofrdevelopingrtyper2rdiab
etesrmellitus.
4. Smokingrincreasesrtherriskrofrtyper2rdiabetes,rwhichrisrnon-
insulinrdependent.rSmokingrcessationrisronerofrfiverlifestylerfactorsrthatrwillrreducertherriskrofrde
velopingrtyper2rdiabetesrmellitus.
PagerRef:r506
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PhysiologicalrAdaptationrNurs/Integr
Conc.:r NursingrProcess:rImplementation
LearningrOutcome:r 3.rIdentifyrriskrfactorsrtorhealthrforrtherolderrpersonrwithranrendocrinerproblem.
3
Copyrightr©r2019rPearsonrEducation,rInc.
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