The client has type 1 diabetes and receives insulin. He asks the ...

[ETearle]

The client has type 1 diabetes and receives insulin. He asks the nurse why he can't just take pills instead. What is the best response by the nurse?
 
  1. I know it is tough, but you will get used to the shots soon.
  2. Have you talked to your doctor about taking pills instead?
  3. Insulin can't be in a pill because it is destroyed in stomach acid.
  4. Insulin must be injected because it needs to work quickly.

Question 2

The nurse has finished teaching a client with diabetes mellitus how to administer insulin. The nurse evaluates that learning has occurred when the client makes which statement?
 
  1. I should only use a calibrated insulin syringe for the injections.
  2. I should check my blood sugar immediately prior to the administration.
  3. I should use the abdominal area only for insulin injections.
  4. I should provide direct pressure over the site following the injection.

[ally]

Answer to Question 1

Correct Answer: 3
Rationale 1: Telling the client he will get used to the shots does not answer his question and is condescending.
Rationale 2: The nurse should answer the client's question, not refer him back to the physician.
Rationale 3: Insulin must be injected because it is destroyed in stomach acid if taken orally.
Rationale 4: Insulin must be injected because it is destroyed in stomach acid if taken orally; the onset of action is not the issue here.

Answer to Question 2

Correct Answer: 1
Rationale 1: To ensure the correct insulin dose, a calibrated insulin syringe must be used.
Rationale 2: There is no need to check blood glucose immediately prior to the injection.
Rationale 3: Insulin injections should also be rotated to the arm and thigh, not just the abdominal area.
Rationale 4: There is no need to apply direct pressure over the site following an insulin injection.

[ETearle]

Thanks for the timely response, appreciate it

[bulacsom]

Gracias!