GALEN NUR 257 CHRONIC CHAPTER 20
2026/2027 | METABOLIC DISORDERS
STUDY GUIDE & EXAM REVIEW
1 of 35
Definition
5.7%-6.4% - prediabetic
>6.5% - diabetic
Give this one a try later!
HgbA1C T4
TSH Fasting Plasma Glucose (FPG)
Don't know?
2 of 35
,Definition
Aging process (Effect on Diabetes Management)
dec. visual acuity (reading labels, instructions, monitoring devices)
auditory impairments (info)
altered taste (food choices / nutritional)
poor dentition & GI changes (ingestion/digestion challenges stable
diet)
altered ability to recognize hunger/thirst (kg loss, dehydration,
hyperosmolar nonketonic syndrome)
hepatic / renal function decline (anti diabetic meds)
arthritis / tremors (self-management)
Polypharmacy (med choices)
depression (dec. motivation to self-manage)
cognitive impairment (self care ability / required educated care-
partner)
Low education / health literacy (modified teaching of disease)
Reduced access to care (self-management)
Give this one a try later!
Diabetes - Minimal Self-Care Skills -
Interaction between Diabetes
Evidence-Based Practice Oral Med
and Aging
Self-Administration
Minimal Standards of
Diabetes - Minimal Self-Care Skills -
Medical/Nursing Care of Diabetic
Evidence-Based Practice Handling
Patients - Evidence-Based Practice At
Sick Days
Each Visit . . .
, Don't know?
3 of 35
Definition
unexplained a-fib
heart failure
constipation
anorexia
muscle weakness
tachycardia
tremors
weight loss
apathetic thyrotoxicosis (rare in young, slowed movement and
depressed affect)
Give this one a try later!
Diabetes (in LTC) Hypothyroidism (S/S)
Hyperthyroidism (Geriatric
Hyperthyroidism (S/S)
Considerations)
Don't know?
4 of 35
2026/2027 | METABOLIC DISORDERS
STUDY GUIDE & EXAM REVIEW
1 of 35
Definition
5.7%-6.4% - prediabetic
>6.5% - diabetic
Give this one a try later!
HgbA1C T4
TSH Fasting Plasma Glucose (FPG)
Don't know?
2 of 35
,Definition
Aging process (Effect on Diabetes Management)
dec. visual acuity (reading labels, instructions, monitoring devices)
auditory impairments (info)
altered taste (food choices / nutritional)
poor dentition & GI changes (ingestion/digestion challenges stable
diet)
altered ability to recognize hunger/thirst (kg loss, dehydration,
hyperosmolar nonketonic syndrome)
hepatic / renal function decline (anti diabetic meds)
arthritis / tremors (self-management)
Polypharmacy (med choices)
depression (dec. motivation to self-manage)
cognitive impairment (self care ability / required educated care-
partner)
Low education / health literacy (modified teaching of disease)
Reduced access to care (self-management)
Give this one a try later!
Diabetes - Minimal Self-Care Skills -
Interaction between Diabetes
Evidence-Based Practice Oral Med
and Aging
Self-Administration
Minimal Standards of
Diabetes - Minimal Self-Care Skills -
Medical/Nursing Care of Diabetic
Evidence-Based Practice Handling
Patients - Evidence-Based Practice At
Sick Days
Each Visit . . .
, Don't know?
3 of 35
Definition
unexplained a-fib
heart failure
constipation
anorexia
muscle weakness
tachycardia
tremors
weight loss
apathetic thyrotoxicosis (rare in young, slowed movement and
depressed affect)
Give this one a try later!
Diabetes (in LTC) Hypothyroidism (S/S)
Hyperthyroidism (Geriatric
Hyperthyroidism (S/S)
Considerations)
Don't know?
4 of 35
