The nurse is caring for an adolescent with type 1 diabetes mellitus who asks, "Why do I have to stick needles in myself? Why can't I just take a pill?" In responding to the client, the nurse would include what information? Select all that apply
Standard Text: Select all that apply. 1. The pills stimulate the pancreas to secrete insulin, and a type 1 diabetic's pancreas doesn't make insulin.
2. Insulin can't be taken orally because the stomach acids would destroy it.
3. Insulin is required only until early adulthood, when the condition stabilizes.
4. Control of weight and obtaining adequate exercise will eliminate the need for insulin.
5. Proper administration of insulin reduces risk of complications.
1,2,5
Rationale: Type 1 diabetics do not produce insulin, so oral medications would have no effect, because they stimulate insulin production. Insulin must be injected because it cannot be taken orally, due to destruction by stomach acids. Maintaining stable blood glucose levels within normal limits will help to reduce the risk of complications. Insulin will be required throughout the client's life, and weight control will reduce the amount of insulin required but will not eliminate the need for insulin injections.
You might also like to view...
A client has undergone an incision and drainage of an anorectal abscess. Which of the following nursing interventions would be appropriate for this client?
A. Pack the rectum with iodoform gauze. B. Assist the client with sitz baths several times per day. C. Administer daily enemas to keep the surgical area free of stool. D. Place the client in a prone position for 8 hours after the surgery.
When teaching a patient about injection site selection and rotation, and how to self-inject insulin, which statement made by the patient indicates that clarification is needed?
a. "The abdominal site is best because it is closest to the pancreas." b. "I can reach my thigh the best, so I will use different areas of the same thigh." c. "By rotating the sites within one area, my chance of having tissue damage is less." d. "If I change injection sites from the thigh to the arm, the rate the insulin is absorbed may be different."
A client is diagnosed with a thyroid storm. Which of the following will the nurse most likely assess in this client? (Select all that apply.)
1. Fever 2. Tachycardia 3. Hypotension 4. Restlessness 5. Cardiac arrhythmias 6. Sweating
The nursing supervisor is assessing the organization by spending time on each unit. The nurse manager seems overwhelmed and stressed trying to address many client complaints. The charge nurse is trying to help everyone at once
What might this supervisor conclude based on this assessment? Select all that apply. 1. The unit culture fosters distrust and poor communication among staff. 2. The unit has had several call-ins, or is short-staffed. 3. Delegation is seen as too time-consuming to undertake. 4. The nurse manager is inexperienced, and needs time to adjust. 5. Nurses on the unit are in need of additional training and skills.