EXAM 3 NUR 257 REVIEW QUESTIONS
WITH CORRECT ANSWERS !!!
Question: For the elderly client its important to note in regards to diabetes mellitus
that
Answer: ✔✔ It is diagnosed in the late stages due to lack of symptoms in the
early stage.
Question: What does A1C measure?
Answer: ✔✔ Average blood glucose over 3 months.
Question: If your elderly client has an acute illness with inability to take oral
medications for their diabetes mellitus what should you as the nurse do?
Answer: ✔✔ Contact PCP.
Question: Why should the nurse take caution when giving metformin (used to treat
diabetes type 2) to the elderly
Answer: ✔✔ Because of the declining kidney function in the elderly, which
increases the risk of lactic acidosis and further renal decline.
Question: What are some education points for the elderly who have diabetes
mellitus
Answer: ✔✔ Limiting saturated fats and encouraging a low-sodium diet, as
well as foot care—ensuring they attend podiatrist appointments, check feet
daily, and use a mirror to look at the plantar surface.
Question: What are some education points for the elderly who have diabetes
mellitus about hypoglycemia
Answer: ✔✔ Explain that the brain needs a constant glucose supply. Provide
intake of fast-acting sugar/milk if conscious, and administer glucagon if the
patient passes out or is unable to take sugar by mouth (injected as needed at
the first sign of severe hypoglycemia). They should keep emergency glucagon
available.
Question: Neuropathy education
, Answer: ✔✔ Feelings of pins and needles in the feet usually indicate
increased/chronically elevated blood glucose levels.
Education on glucosuria -ANSWER ✔✔May cause incontinence, limit saturated
fats and carbs eat low sodium
S/S of hypoglycemia -ANSWER ✔✔irritable, confusion, tremors, blurred vision,
skin cool clammy, tachycardia
What are the 3 P's of diabetes -ANSWER ✔✔Polyuria
Polydipsia
Polyhagia
Rapid-acting insulin -ANSWER ✔✔Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
It's taken just before meals
Short-acting insulin -ANSWER ✔✔Regular (Humulin R, Novolin R)
Taken 30-60 minutes before meals
Intermediate-acting insulin -ANSWER ✔✔NPH (Humulin N, Novolin N)
Usually taken once or twice a day often at bedtime
Long-acting insulin -ANSWER ✔✔glargine (Lantus)
WITH CORRECT ANSWERS !!!
Question: For the elderly client its important to note in regards to diabetes mellitus
that
Answer: ✔✔ It is diagnosed in the late stages due to lack of symptoms in the
early stage.
Question: What does A1C measure?
Answer: ✔✔ Average blood glucose over 3 months.
Question: If your elderly client has an acute illness with inability to take oral
medications for their diabetes mellitus what should you as the nurse do?
Answer: ✔✔ Contact PCP.
Question: Why should the nurse take caution when giving metformin (used to treat
diabetes type 2) to the elderly
Answer: ✔✔ Because of the declining kidney function in the elderly, which
increases the risk of lactic acidosis and further renal decline.
Question: What are some education points for the elderly who have diabetes
mellitus
Answer: ✔✔ Limiting saturated fats and encouraging a low-sodium diet, as
well as foot care—ensuring they attend podiatrist appointments, check feet
daily, and use a mirror to look at the plantar surface.
Question: What are some education points for the elderly who have diabetes
mellitus about hypoglycemia
Answer: ✔✔ Explain that the brain needs a constant glucose supply. Provide
intake of fast-acting sugar/milk if conscious, and administer glucagon if the
patient passes out or is unable to take sugar by mouth (injected as needed at
the first sign of severe hypoglycemia). They should keep emergency glucagon
available.
Question: Neuropathy education
, Answer: ✔✔ Feelings of pins and needles in the feet usually indicate
increased/chronically elevated blood glucose levels.
Education on glucosuria -ANSWER ✔✔May cause incontinence, limit saturated
fats and carbs eat low sodium
S/S of hypoglycemia -ANSWER ✔✔irritable, confusion, tremors, blurred vision,
skin cool clammy, tachycardia
What are the 3 P's of diabetes -ANSWER ✔✔Polyuria
Polydipsia
Polyhagia
Rapid-acting insulin -ANSWER ✔✔Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
It's taken just before meals
Short-acting insulin -ANSWER ✔✔Regular (Humulin R, Novolin R)
Taken 30-60 minutes before meals
Intermediate-acting insulin -ANSWER ✔✔NPH (Humulin N, Novolin N)
Usually taken once or twice a day often at bedtime
Long-acting insulin -ANSWER ✔✔glargine (Lantus)
