The patient has just been diagnosed as diabetic. The nurse knows teaching was effective when the patient says:
1. "Ketones in my urine mean that my body is using the glucose appropriately."
2. "I should be urinating frequently and in large amounts to get rid of the extra sugar."
3. "My pancreas is making enough insulin, but my body isn't using it correctly."
4. "I might be hungry frequently because the sugar isn't getting into the tissues the way it should."
4
Rationale 1: Ketones are produced when fat is being utilized for glucose, and this is not a desirable response.
Rationale 2: Frequent urination is an indication of glucose above the renal threshold, and is not a good indicator of diabetic stability.
Rationale 3: Diabetes is a result of lack of insulin production. If the insulin is being produced, the body will utilize it.
Rationale 4: The patient who understands the disease process is aware that if the body is not getting the glucose it needs, the message of hunger will be sent to the brain.
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