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27/11/2024 11:35AM
HESI Case Study Gerontology: Age-Related
Risks Solutions
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. - Answers✓✓
The RN understands that which statement is accurate regarding type 2 diabetes mellitus in the
aging client? - Answers✓✓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? - Answers✓✓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? - Answers✓✓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? -
Answers✓✓C) Glargine (lantus) does not have a peak interval
What conditions, other than hypoerglyceia, might Mr. Rogers have? - Answers✓✓C) Ketonuria
, ©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
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 - Answers✓✓C) Potassium supplements
D) Sodium bicarbonate
E) 0.9% normal saline
The RN sets the insulin drip to deliver how many mL/hr? - Answers✓✓3 mL/hr
Which pattern should the nurse report immediately to the HCP? - Answers✓✓A) ST depression
and "U" waves
Which lab value needs to be reported immediately? - Answers✓✓B) Arterial pH 7.05 mg/dL
The RN understands that which symptoms are associated with diabetic peripheral neuropathy?
SELECT ALL THAT APPLY - Answers✓✓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? - Answers✓✓D) Use a bath thermometer to
ensure that the temperature is below 102 degrees F
27/11/2024 11:35AM
HESI Case Study Gerontology: Age-Related
Risks Solutions
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. - Answers✓✓
The RN understands that which statement is accurate regarding type 2 diabetes mellitus in the
aging client? - Answers✓✓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? - Answers✓✓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? - Answers✓✓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? -
Answers✓✓C) Glargine (lantus) does not have a peak interval
What conditions, other than hypoerglyceia, might Mr. Rogers have? - Answers✓✓C) Ketonuria
, ©Themoon EXAM SOLUTIONS
27/11/2024 11:35AM
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 - Answers✓✓C) Potassium supplements
D) Sodium bicarbonate
E) 0.9% normal saline
The RN sets the insulin drip to deliver how many mL/hr? - Answers✓✓3 mL/hr
Which pattern should the nurse report immediately to the HCP? - Answers✓✓A) ST depression
and "U" waves
Which lab value needs to be reported immediately? - Answers✓✓B) Arterial pH 7.05 mg/dL
The RN understands that which symptoms are associated with diabetic peripheral neuropathy?
SELECT ALL THAT APPLY - Answers✓✓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? - Answers✓✓D) Use a bath thermometer to
ensure that the temperature is below 102 degrees F
