Question

A nurse is caring for a client who has type 1 diabetes mellitus and has had acute bronchitis for the past 3 days. Which of the following statements should the nurse include when instructing the client?

a) Limit your fluid intake to control blood sugar levels.
b) Increase your insulin dose when experiencing bronchitis symptoms.
c) Monitor blood glucose levels more frequently during illness.
d) Avoid any physical activity until bronchitis resolves.

Answer 1

The correct instruction to give to the client is to monitor blood glucose levels more frequently during illness. Fluid intake should be maintained or increased to help manage bronchitis, and adjustments to insulin doses should be made only on healthcare provider advice.

Step-by-step explanation:

The most appropriate instruction for a nurse to give to a client who has type 1 diabetes mellitus and has been experiencing acute bronchitis is: c) Monitor blood glucose levels more frequently during illness. Illness and stress can cause blood glucose levels to fluctuate significantly. During times of illness, such as bronchitis, the body may produce stress hormones that raise blood glucose levels. Therefore, it is important for individuals with diabetes to monitor their glucose levels more frequently to ensure appropriate insulin dosing and to avoid complications from hyperglycemia.

Fluid intake should not be limited, as staying hydrated is critical when sick, especially with conditions like bronchitis. In fact, increasing fluid intake can help thin and remove mucus. Physical activity may be adjusted depending on the individual's overall health and energy levels, but complete avoidance is not typically necessary unless indicated by the physician. As for adjusting insulin doses, this should only be done on advice from a healthcare provider, as it varies significantly among individuals.