A client has been recently diagnosed with type 1 diabetes mellitus. The client is making statements that signal denial of the problem
The client states, "I am thin and eat all of the time, so how can this mean I have diabetes?" Which of the following responses by the nurse is most appropriate? 1. "Thin people are diabetic, too.".
2. "Your condition makes it impossible for you to gain weight.".
3. "You are eating large quantities because your condition makes it difficult for your body to obtain energy from the foods taken in.".
4. "Your lab tests indicate the presence of diabetes.".
3. "You are eating large quantities because your condition makes it difficult for your body to obtain energy from the foods taken in.".
Rationale:
The diabetic client is unable to obtain the needed glucose for the body's cells, due to the lack of insulin. Clients diagnosed with type 1 diabetes mellitus experience polyphagia, and are often thin. While the statement about diabetics being thin is correct, it does not answer the client. It is not impossible for diabetics to gain weight. Although the laboratory tests might indicate the presence of diabetes, it does not meet the client's needs for teaching.
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