Author Question: When teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, I will ... (Read 109 times)

pepyto · **on:** Jun 25, 2018

When teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, I will never be able to stick myself with a needle. How should the nurse respond?

a. I can give your injections to you while you are here in the hospital.
b. Everyone gets used to giving themselves injections. It really does not hurt.
c. Your disease will not be managed properly if you refuse to administer the shots.
d. Tell me what it is about the injections that are concerning you.

Question 2

After teaching a client with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

a. I need to have an annual appointment even if my glucose levels are in good control.
b. Since my diabetes is controlled with diet and exercise, I must be seen only if I am sick.
c. I can still develop complications even though I do not have to take insulin at this time.
d. If I have surgery or get very ill, I may have to receive insulin injections for a short time.

Ddddd · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Devote as much teaching time as possible to insulin injection and blood glucose monitoring. Clients with newly diagnosed diabetes are often fearful of giving themselves injections. If the client is worried about giving the injections, it is best to try to find out what specifically is causing the concern, so it can be addressed. Giving the injections for the client does not promote self-care ability. Telling the client that others give themselves injections may cause the client to feel bad. Stating that you don't know another way to manage the disease is dismissive of the client's concerns.

Answer to Question 2

ANS: B
Clients with diabetes need to be seen at least annually to monitor for long-term complications, including visual changes, microalbuminuria, and lipid analysis. The client may develop complications and may need insulin in the future.