A nurse is teaching a client and spouse about insulin administration
The spouse becomes quite upset, saying "Why are we having to use insulin at home? The diagnosis is pancreatitis! How did you make him a diabetic?" The best response by the nurse is a. "I see you are upset. Let me answer your questions before we talk about insulin."
b. "I'm sorry you're upset. But you both need to understand how to use insulin."
c. "When so much endocrine tissue is damaged, the client becomes diabetic."
d. "Would you like the diabetic educator to come talk with you both?"
A
The client who loses a great deal of endocrine pancreatic tissue, either through scarring from chronic pancreatitis or from surgical resection, will develop diabetes and will need insulin ad-ministration for the rest of the client's life. However, the spouse is too upset to be able to learn, and attending to the psychosocial needs takes precedence before teaching can be done.
You might also like to view...
A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide?
A) Cure the cirrhosis. B) Treat the esophageal varices. C) Reduce fluid accumulation and venous pressure. D) Promote optimal neurologic function.
Which does the nurse implement when performing venipuncture?
1. Insert the needle, bevel up, at a 45-degree angle. 2. Select a vein that is rigid, cordlike, and prominent. 3. Insert needle at once after scrubbing skin with alcohol. 4. Pull skin taut by placing thumb about 1 inch below site.
Which of the following blood tests is most indicative of cardiac damage?
a. Lactate dehydrogenase b. Complete blood count (CBC) c. Troponin I d. Creatine kinase (CK)
Which class of diuretics has a greater diuretic action than the thiazides and is often prescribed for patients who have edema and have become resistant to thiazide diuretics?
A. Xanthine derivatives B. Organic acid diuretics C. Carbonic anhydrase inhibitors D. Potassium-sparing diuretics