Mr. P is a newly diagnosed diabetic client in for his first visit with the nurse educator. His biggest complaint is frequent urination that interferes with his job and his sleep. The best response the nurse can make is that:

Question

1. "Once your blood sugar is less than 200 you won't be as thirsty and so won't urinate as frequently.".
2. "Without enough insulin, glucose is not absorbed into the cells but is excreted by the kidneys along with large amounts of water causing frequent urination.".
3. "Frequent urination is a common event with diabetes and should be expected to continue regardless of how well your blood sugar is controlled.".
4. "Limiting the amount of fluids in the evening may help to decrease the number of times you wake up during the night to urinate.".

Answer 1

2
Rationale: Blood sugars of 200 or more are an indicator of poor glucose control and considered hyperglycemic, causing symptoms of polyuria, polydipsia, and polyphagia. High amounts of glucose without sufficient insulin from endogenous or chemical sources result in excessive glucose circulating in the blood without being absorbed into cells which the kidneys to eliminate along with large amounts of water resulting in frequent urination. Polyuria is a symptom of hyperglycemia and does not occur when there is a balance between glucose intake and insulin availability. Limiting the amount of fluids consumed in the evening will usually help to decrease nocturia in the absence of pathology.