A nurse teaches a client with type 1 diabetes mellitus. Which ...

[bclement10]

A nurse teaches a client with type 1 diabetes mellitus. Which statement should the nurse include in this client's teaching to decrease the client's insulin needs?
 
  a. Limit your fluid intake to 2 liters a day.
  b. Animal organ meat is high in insulin.
  c. Limit your carbohydrate intake to 80 grams a day.
  d. Walk at a moderate pace for 1 mile daily.

Question 2

A nurse cares for a client experiencing diabetic ketoacidosis who presents with Kussmaul respirations. Which action should the nurse take?
 
  a. Administration of oxygen via face mask
  b. Intravenous administration of 10 glucose
  c. Implementation of seizure precautions
  d. Administration of intravenous insulin

[zogaridan]

Answer to Question 1

ANS: D
Moderate exercise such as walking helps regulate blood glucose levels on a daily basis and results in lowered insulin requirements for clients with type 1 diabetes mellitus. Restricting fluids and eating organ meats will not reduce insulin needs. People with diabetes need at least 130 grams of carbohydrates each day.

Answer to Question 2

ANS: D
The rapid, deep respiratory efforts of Kussmaul respirations are the body's attempt to reduce the acids produced by using fat rather than glucose for fuel. Only the administration of insulin will reduce this type of respiration by assisting glucose to move into cells and to be used for fuel instead of fat. The client who is in ketoacidosis may not experience any respiratory impairment and therefore does not need additional oxygen. Giving the client glucose would be contraindicated. The client does not require seizure precautions.

[bclement10]

Thanks for the timely response, appreciate it

[tranoy]

TYSM