A client who has just been diagnosed with diabetes mellitus is being instructed by the nurse regarding diet and exercise. Which client statements indicate that further teaching is required?
Select all that apply.
A) "I should talk to the doctor about an exercise program."
B) "I don't need to watch my diet as long as I take my insulin."
C) "I need to limit the amount of fat in my diet."
D) "I should eat a candy bar when my energy is low."
E) "I will test my blood sugar before meals and at bedtime."
Answer: B, D
The nurse would revise the plan and add more teaching if the client states that candy is necessary for energy and that no dietary planning is needed as long as the client takes insulin. Testing blood sugars before meals and at bedtime is appropriate understanding by the client. Every client is different, and the client should consult the physician regarding starting an exercise program. Limiting fat in the diet is encouraged for this client.
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