A nurse teaches a client who is diagnosed with diabetes mellitus. ...

[shenderson6]

A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement should the nurse include in this client's plan of care to delay the onset of microvascular and macrovascular complications?
 
  a. Maintain tight glycemic control and prevent hyperglycemia.
  b. Restrict your fluid intake to no more than 2 liters a day.
  c. Prevent hypoglycemia by eating a bedtime snack.
  d. Limit your intake of protein to prevent ketoacidosis.

Question 2

A nurse cares for a client who has a family history of diabetes mellitus. The client states, My father has type 1 diabetes mellitus. Will I develop this disease as well? How should the nurse respond?
 
  a. Your risk of diabetes is higher than the general population, but it may not occur.
  b. No genetic risk is associated with the development of type 1 diabetes mellitus.
  c. The risk for becoming a diabetic is 50 because of how it is inherited.
  d. Female children do not inherit diabetes mellitus, but male children will.

[Cheesycrackers]

Answer to Question 1

ANS: A
Hyperglycemia is a critical factor in the pathogenesis of long-term diabetic complications. Maintaining tight glycemic control will help delay the onset of complications. Restricting fluid intake is not part of the treatment plan for clients with diabetes. Preventing hypoglycemia and ketosis, although important, are not as important as maintaining daily glycemic control.

Answer to Question 2

ANS: A
Risk for type 1 diabetes is determined by inheritance of genes coding for HLA-DR and HLA-DQ tissue types. Clients who have one parent with type 1 diabetes are at increased risk for its development. Diabetes (type 1) seems to require interaction between inherited risk and environmental factors, so not everyone with these genes develops diabetes. The other statements are not accurate.

[shenderson6]

Excellent

[amandalm]

TYSM