The nurse is caring for a patient with a history of type I diabetes. Which assessment finding indicates to the nurse that the patient may not be compliant with his diabetic treatment regimen?
a. The patient is always thirsty and frequently voids very large amounts of urine.
b. The patient's urine is very concentrated with a dark amber color.
c. The patient complains of throbbing flank pain and burning with urination.
d. The patient has urinary hesitancy and difficulty initiating a stream of urine.
ANS: A
A noncompliant diabetic patient will have elevated blood sugars that cause thirst and polyuria. Concentrated urine indicates dehydration. Throbbing flank pain and burning with urination are indicative of urinary tract infection. Urinary hesitancy and difficulty initiating urine stream are not indicative of elevated blood sugar levels.
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