Author Question: The nurse is caring for an adolescent with type 1 diabetes mellitus who asks, Why do I have to stick ... (Read 18 times)

sabina · **on:** Jul 22, 2018

The nurse is caring for an adolescent with type 1 diabetes mellitus who asks, Why do I have to stick needles in myself? Why can't I just take a pill? In responding to the client, the nurse would include what information? Select all that apply.

Standard Text: Select all that apply. 1. The pills stimulate the pancreas to secrete insulin, and a type 1 diabetic's pancreas doesn't make insulin.
2. Insulin can't be taken orally because the stomach acids would destroy it.
3. Insulin is required only until early adulthood, when the condition stabilizes.
4. Control of weight and obtaining adequate exercise will eliminate the need for insulin.
5. Proper administration of insulin reduces risk of complications.

Question 2

The nurse notes the term palliative management on a client's chart, and recognizes that the treatment goals

1. Are to let the client die peacefully
2. Are to optimize quality of life
3. Depend on the results of tests
4. Are to make sure the client gets plenty of fluids to stay hydrated

lindahyatt42 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1,2,5
Rationale: Type 1 diabetics do not produce insulin, so oral medications would have no effect, because they stimulate insulin production. Insulin must be injected because it cannot be taken orally, due to destruction by stomach acids. Maintaining stable blood glucose levels within normal limits will help to reduce the risk of complications. Insulin will be required throughout the client's life, and weight control will reduce the amount of insulin required but will not eliminate the need for insulin injections.

Answer to Question 2

2
Rationale: Palliative care may be instituted for clients who are not terminally ill.