The client has type 1 diabetes and receives insulin. He asks the nurse why he can't just take pills instead. What is the best response by the nurse?
1. "I know it is tough, but you will get used to the shots soon."
2. "Have you talked to your doctor about taking pills instead?"
3. "Insulin can't be in a pill because it is destroyed in stomach acid."
4. "Insulin must be injected because it needs to work quickly."
Correct Answer: 3
Rationale 1: Telling the client he will get used to the shots does not answer his question and is condescending.
Rationale 2: The nurse should answer the client's question, not refer him back to the physician.
Rationale 3: Insulin must be injected because it is destroyed in stomach acid if taken orally.
Rationale 4: Insulin must be injected because it is destroyed in stomach acid if taken orally; the onset of action is not the issue here.
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