Physiological NCLEX RN Questions Related

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The nurse is developing a plan of care for an older client diagnosed with type 1 diabetes mellitus who is also experiencing acute gastroenteritis. To maintain food and fluid intake in order to prevent dehydration, which action should the nurse plan to include?

  • A. Offering only water until the client is able to tolerate solid foods
  • B. Withholding all fluids until vomiting has ceased entirely for at least 4 hours
  • C. Encouraging the client to take 8 to 12 ounces of fluid every hour while awake
  • D. Maintaining a clear liquid diet for at least 5 days before advancing to solid foods
Correct Answer: C

Rationale: Dehydration needs to be prevented in the client with type 1 diabetes mellitus because of the risk of diabetic ketoacidosis (DKA). Small amounts of fluid may be tolerated, even when vomiting is present. The client should be offered liquids containing both glucose and electrolytes. The diet should be advanced as tolerated and include a minimum of 100 to 150 g of carbohydrates daily.