A client, newly diagnosed with type 1 diabetes, says, "I have heard this is a bad disease. What complications could I have?" How should the nurse respond?
1. "Problems with arteries can occur that may cause such problems as heart disease, stroke, kidney disease, or blindness."
2. "Let's not talk about that now, but rather focus on keeping you healthy."
3. "You could have nerve problems that lead to numbness or tingling in your feet or hands."
4. "One of the most serious complications is diabetic ketoacidosis."
5. "You may experience inability to think and difficulty with memory."
Correct Answer: 1,3,4
Rationale 1: Arterial damage can lead to the problems listed.
Rationale 2: The client is interested in this topic today and the topic should be addressed.
Rationale 3: Neuropathy may occur, causing numbness, tingling, or loss of sensation in the limbs.
Rationale 4: DKA is one of the most serious complications of type 1 diabetes.
Rationale 5: While these symptoms may occur related to CVA, they are not primary complications of type 1 diabetes.
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