The client who was diagnosed with diabetes mellitus one year ago is hospitalised in diabetic ketoacidosis after a religious fast. The client tells the nurse, "I have fasted during this season every year since I became an adult. I am not going to stop now." The nurse is not knowledgeable about this particular religion. What is the best action for this nurse?

Question

Quizplus · Accepted Answer

The best action for the nurse is to request a consult from a diabetes educator or dietitian who has knowledge about the religious practices and can help the client modify the fasting regimen to avoid future episodes of diabetic ketoacidosis. This approach takes into account both the religious and medical needs of the client. Though it is important for the nurse to learn more about the religion and its practices, it may not be possible to gain sufficient knowledge in a timely manner to help the client manage their diabetes. Telling the client to stop fasting altogether may not be effective, as the client has indicated a strong commitment to this tradition. Asking family members to discuss fasting with the client may not be helpful, as they may not have the medical knowledge needed to modify the client's fasting regimen safely.

The Client Who Was Diagnosed with Diabetes Mellitus One Year