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