A patient beginning insulin for type 2 diabetes is experiencing blurred vision and is concerned about becoming blind. What response by the nurse is most appropriate?
1. "I will make an appointment for you to see an ophthalmologist."
2. "I will call the physician to report your symptoms."
3. "Blurry vision is very common. Do not worry."
4. "This is a normal response when insulin therapy is initiated."
Correct Answer: 4
Vision changes are normal during the first weeks of insulin therapy. They will gradually resolve. It is beyond the scope of practice for the nurse to make a referral to another physician. Contacting the physician is premature. Telling the patient it is "nothing" minimizes the concerns voiced, and does not provide adequate information to the patient.
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