The nurse is caring for a client with type 1 diabetes suffering from nausea and vomiting. Which of the following interventions should the nurse perform?

Explanation

• For patients with type 1 diabetes, acute illness complicates diabetes management because of its varying effects upon insulin requirements

• Blood glucose should be monitored very closely

• Urine should be monitored for ketones as there is a greater risk of Diabetic ketoacidosis (DKA) due to inadequate insulin supplementation

• Water and fluids containing both carbohydrates and electrolytes should be encouraged

• Insulin should never be stopped. The patient should be aware that insulin requirements can fluctuate, rising due to an increase in counter-regulatory hormones released in response to stress, and decreasing due to reduced oral intake of carbohydrates because of decreased appetite, nausea, or vomiting

Visit our website for other NCLEX topics now!