A client who has just been diagnosed with diabetes mellitus is ...

[ap345]

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.

Question 2

An older adult client with heart failure is experiencing activity intolerance due to dyspnea on exertion. Which nursing intervention is a priority for the client?
 
  A) Complete all nursing care at the end of the shift.
  B) Delegate care for the client to an aide.
  C) Complete all nursing care in the morning.
  D) Pace nursing care throughout the shift.

[Perkypinki]

Answer to Question 1

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.

Answer to Question 2

Answer: D

The client with little energy reserve is best served by pacing care throughout the shift to allow for rest periods between activities. Completing all care at once can hurt the client's ability to heal by tiring the client too severely. Delegating care does not help the client to conserve energy. Waiting until the end of the shift would have the same effect as doing all care in the morning. The key is not to overtax the client's reserves at any time during the shift.