# A client with type 1 diabetes has influenza and a poor appetite. Which sick-day instructions should the nurse include? Select exactly 3 responses.

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> language: en  
> subject: Medication Administration  
> category: PPT

## Question

A client with type 1 diabetes has influenza and a poor appetite. Which sick-day instructions should the nurse include? Select exactly 3 responses.

Select exactly 3 responses.

1

Check the blood glucose about every 4 hours and keep a record of the results.

2

Limit oral fluids while ill because drinking can make the blood glucose fluctuate.

3

Continue insulin as directed and contact the provider for individual dose guidance.

4

Wait for symptoms of hypoglycemia before checking the blood glucose.

5

Check ketones as instructed and seek urgent care for ketones, trouble breathing, or inability to keep liquids down.

6

Withhold the scheduled insulin while appetite is poor and resume it when regular meals return.

## Explanation

Correct selections are 1, 4, and 6. Illness can raise glucose and ketone production even when appetite is poor, so insulin is continued with individualized guidance rather than stopped. Blood glucose is checked about every 4 hours, hydration is maintained, and ketones are checked as directed. Ketones, breathing difficulty, or inability to retain liquids can signal diabetic ketoacidosis or dehydration and require urgent care.

## In-depth explanation

Clinical reasoning
Stress hormones during illness can increase glucose and insulin needs despite reduced food intake. Stopping insulin in type 1 diabetes can rapidly permit ketosis.

Decision rule
Continue prescribed insulin, monitor glucose frequently, drink fluids, check ketones according to the sick-day plan, and escalate for ketones, respiratory difficulty, or inability to keep liquids down.

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