Check their feet, ask family for help or use a mirror to examine a feet

Hyperglycemia, sugar, too much glucose in the urine

Hypoglycemic shock

This is high, poorly controlled

Diabetes precursors into cardiovascular disease, diabetic retinopathy, kidney issues

Assess Level of consciousness

Need to intervene immediately, higher risk of falling

Low sodium diet, exercise, treat underlying depression

Before any type of exercise or activity they should use their bronchodilator at least 30 minutes before

Prevent hyperglycemia, diet is key

Make sure new shoes fit well, not too tight, not too lose, footwear fits well and has even patterns, walking properly

Food should be consumed at a scheduled time each day, snacks and meals same time each day

Educate patient if they cannot eat they cannot continue to take their medicine and need to call their doctor.

Check their glasses, make sure they are using their glasses, if they are able to read labels , if they are able to read

The nurse would expect to see if the clients experiencing depression with an onset related to a recent life change, loss of a spouse, moving into an assisted living

Wernicke (fluent aphasia)

Maintain adequate sedation, maintain adequate pain medication

Sit down and talk to them to figure out the reason why they tried to do this

Check the MAR to ensure that the patient has been receiving their medications, and on time

Discuss with patient about their desire of treatment, what are their wishes

Weighted utensils for all meals and snacks

Nonadherence to hypertension medication

Remind patient to address the left side of their face and hair to reorient them.

“I should remind my family member to concentrate on their feet while walking.”

Explain all the steps you are taking in simple words to keep them oriented

Age

To keep personal items within their visual field

Easily established recognized landmarks for them.

Impaired gas exchange

There are many triggers for asthma and can make treatment difficult.

Anyone with heart failure is at greater risk for complications so yes they should

Comfortable when resting

Make sure appointments are made in early afternoon and not in the late afternoon. (Powerpoint says: Schedule appointments later in the day to prevent rushing patient, this is a good one to miss because of the wording)

Potassium level of 5.5

Encourage to perform as many tasks as possible and participate in decision making for as long as possible.

Excessive fatigue, unusual defecation patterns, dizziness

Follow up with their primary care doctor for further diagnositcs and treatment.

Check the o2 sat and contact provider right away

Ischemia that completely blocks the delivery of oxygen to the heart and muscles.

if the client states “I need to stick to food allowed in my diet except for special occasions”

Contact the PCP regarding most recent orders (doesn’t make sense question, good to miss)

Type 2 usually has very few symptoms in older clients so there is already organ damage done.

Teach how to prevent hyperglycemia, emphasize role in physical exercise, review manifestations of complications of diabetes, instruct on self monitoring of blood glucose levels

Give orange juice

Tell them what to do when a hypoglycemic episode occurs , what they will feel like/what they want to do about it

Single dose of insulin will not match the blood insulin levels and food intake patterns closely enough.

fatigue, dyspnea with exertion.