A controlled type 2 diabetic client states, "The doctor said if my blood sugars remain stable, I may not need to take any medication." Which response by the nurse is most appropriate?
A) "Diet, exercise, and weight loss can eliminate the need for medication."
B) "You will be placed on a strict low-sugar diet for better control."
C) "Some doctors do not treat blood sugar elevation until symptoms appear."
D) "You misunderstood the doctor. Let's ask for clarification."
A
Feedback:
Dieting, exercise, and weight loss can control and/or delay the need for medication to treat type 2 diabetes mellitus in some clients. Because the client is controlling blood sugars, changing the diet is not indicated. Controlling blood glucose levels will prevent multisystem complications and should be the mainstay of treatment for diabetes mellitus. Although clarification is appropriate, stating the client misunderstood can close the line of communication between client and nurse.
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