NR 601 - PRIMARY CARE OF THE MATURING AND AGED
FAMILY FINAL STUDYMATERIAL QUESTIONS WITH CORRECT
ANSWERS
Diabetes Diagnostic Criteria - correct answer✔✔A1c >6.5,
Fasting Glucose >126, Random Glucose >200, Symptoms,
Glucose Tolerance Test >200. Confirmation with repeat testing.
,Insulin side effects - correct answer✔✔hypoglycemia
Metformin side effects - correct answer✔✔GI upset, lactic
acidosis
Diabetes treatment in Healthy older adult - correct
answer✔✔A1C goal <7.5%, FBS 90-130, HS glucose 90-150, BP
<140/90, RX -Statin unless contraindicated
Diabetes treatment in Complex older adult - correct
answer✔✔With multiple chronic illnesses; A1C goal <8%, FBS 90-
150, HS glucose 100180, BP <140/90, RX -Statin unless
contraindicated
Diabetes treatment in End-Stage older adult - correct
answer✔✔Poor health/end stage diseases; A1C goal <8.5%, FBS
100-180, HS glucose 110-200, BP <150/90, consider -Statin
benefit for secondary prevention.
A1C level denoting strong control - correct answer✔✔A1C 7% or
below
A1C level denoting low risk for complications - correct
answer✔✔A1C
<6.5%
, Weight Loss in Diabetes - correct answer✔✔Aids in decreasing
A1C, decreases insulin resistance, Metformin can be used to
assist if BMI >35 or patient has gestational DM.
This is not recommended in frail elderly r/t risk of sarcopenia.
Diabetes Evaluations Required at F/U visit - correct
answer✔✔Response and toleration of treatment, BP, home
glucose control, medication reconciliation, foot exam,
urine/kidney check (Labs), A1C check (every 3-6 mos), Neuro
check (r/o neuropathies), immunization check, and oral
examination.
Diabetes Evaluations Required Annually - correct
answer✔✔Eye
examination, EKG, Lipid
panel.
Diabetes Referrals - correct answer✔✔When complications
are present
(per complication
specialty)
A1C>13 or FBS >300 (endocrine
specialty)
For annual eye
exam
FAMILY FINAL STUDYMATERIAL QUESTIONS WITH CORRECT
ANSWERS
Diabetes Diagnostic Criteria - correct answer✔✔A1c >6.5,
Fasting Glucose >126, Random Glucose >200, Symptoms,
Glucose Tolerance Test >200. Confirmation with repeat testing.
,Insulin side effects - correct answer✔✔hypoglycemia
Metformin side effects - correct answer✔✔GI upset, lactic
acidosis
Diabetes treatment in Healthy older adult - correct
answer✔✔A1C goal <7.5%, FBS 90-130, HS glucose 90-150, BP
<140/90, RX -Statin unless contraindicated
Diabetes treatment in Complex older adult - correct
answer✔✔With multiple chronic illnesses; A1C goal <8%, FBS 90-
150, HS glucose 100180, BP <140/90, RX -Statin unless
contraindicated
Diabetes treatment in End-Stage older adult - correct
answer✔✔Poor health/end stage diseases; A1C goal <8.5%, FBS
100-180, HS glucose 110-200, BP <150/90, consider -Statin
benefit for secondary prevention.
A1C level denoting strong control - correct answer✔✔A1C 7% or
below
A1C level denoting low risk for complications - correct
answer✔✔A1C
<6.5%
, Weight Loss in Diabetes - correct answer✔✔Aids in decreasing
A1C, decreases insulin resistance, Metformin can be used to
assist if BMI >35 or patient has gestational DM.
This is not recommended in frail elderly r/t risk of sarcopenia.
Diabetes Evaluations Required at F/U visit - correct
answer✔✔Response and toleration of treatment, BP, home
glucose control, medication reconciliation, foot exam,
urine/kidney check (Labs), A1C check (every 3-6 mos), Neuro
check (r/o neuropathies), immunization check, and oral
examination.
Diabetes Evaluations Required Annually - correct
answer✔✔Eye
examination, EKG, Lipid
panel.
Diabetes Referrals - correct answer✔✔When complications
are present
(per complication
specialty)
A1C>13 or FBS >300 (endocrine
specialty)
For annual eye
exam
