Which of the following statements is true about diabetes mellitus?

Choice A reason: This is incorrect because issues related to the digestive system are not likely to be caused by UTIs or constipation. Digestive system issues can include gastritis, ulcers, irritable bowel syndrome, or inflammatory bowel disease, which can cause symptoms such as abdominal pain, nausea, vomiting, diarrhea, or bleeding. These symptoms are different from UTIs or constipation, which affect the urinary and bowel functions, respectively.

Choice B reason: This is incorrect because vitamin B12 deficiency is not likely to be caused by UTIs or constipation. Vitamin B12 deficiency can occur due to poor dietary intake, malabsorption, or pernicious anemia, which can cause symptoms such as fatigue, weakness, numbness, tingling, or anemia. These symptoms are different from UTIs or constipation, which affect the urinary and bowel functions, respectively.

Choice C reason: This is incorrect because malnutrition is not likely to be caused by UTIs or constipation. Malnutrition can occur due to inadequate food intake, poor food quality, or increased nutritional needs, which can cause symptoms such as weight loss, muscle wasting, edema, or poor wound healing. These symptoms are different from UTIs or constipation, which affect the urinary and bowel functions, respectively.

Choice D reason: This is correct because dehydration can be caused by UTIs or constipation. UTIs can cause increased urination, fever, or vomiting, which can lead to fluid loss and dehydration. Constipation can cause reduced fluid intake, hard stools, or straining, which can also lead to fluid loss and dehydration. Dehydration can cause symptoms such as dry mouth, thirst, low urine output, dark urine, or low blood pressure. Dehydration can also worsen UTIs or constipation, creating a vicious cycle. Therefore, dehydration is a possible condition that the client might be suffering from.

Choice A reason: Allowing the client to remain in bed but sharing that getting up will be required at least twice a day starting the next morning is not an effective intervention, as it does not address the client's current pain or anxiety, and may increase the client's resistance or fear of mobilization.

Choice B reason: Using the Hoyer lift to get her out of bed so that the knee will not experience much movement and so there will be little pain is not an appropriate intervention, as it does not respect the client's autonomy or preference, and may cause more pain or injury to the knee or other joints.

Choice C reason: Sharing with the client that it is important to get out of bed and that there is pain medication available if it does hurt is not a sufficient intervention, as it does not provide the client with adequate pain relief or reassurance, and may imply that the client's pain is not taken seriously or validated.

Choice D reason: Offering pain medication, administering the medication, and waiting 30 minutes before getting her out of bed is the best intervention, as it provides the client with effective pain management, reduces the client's anxiety, and facilitates the client's mobilization and recovery.