Gerontological Nurses Have an Important Educational Role in the Treatment

Gerontological nurses have an important educational role in the treatment of diabetes, and must advocate for and encourage older persons to obtain care that can delay or minimize complications.Hyperosmolar nonketotic syndrome is a metabolic complication of diabetes mellitus (DM) .What signs should the nurse be aware of when planning care for an older person who has DM and may develop this syndrome?

A) Auditory impairments that can cause difficulty hearing instructions
B) A decline in the patient's visual acuity
C) Altered ability to recognize hunger and thirst
D) Changes in hepatic or renal function