The client has type 1 diabetes mellitus and receives insulin for glycemic control. The client tells the nurse that she likes to have a glass of wine with dinner. What will the best plan by the nurse for client education include?
1. The alcohol could cause pancreatic disease and decrease insulin production.
2. The alcohol could predispose you to hypoglycemia.
3. The alcohol could cause serious liver disease.
4. The alcohol could predispose you to hyperglycemia.
2
Rationale 1: Alcohol can cause pancreatic disease, but the client's pancreas is not producing any insulin currently.
Rationale 2: Alcohol can potentiate hypoglycemic effects in the client.
Rationale 3: Alcohol can cause liver disease, but the more immediate concern is hypoglycemia.
Rationale 4: Alcohol can potentiate hypoglycemic, not hyperglycemic, effects in the client.
Global Rationale: Alcohol can potentiate hypoglycemic effects in the client. Alcohol can cause pancreatic disease, but the client's pancreas is not producing any insulin currently. Alcohol can cause liver disease, but the more immediate concern is hypoglycemia. Alcohol can potentiate hypoglycemic, not hyperglycemic, effects in the client.
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