A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
"I will carry a complex carbohydrate snack with me when I exercise."
"I should exercise first thing in the morning before eating breakfast."
"I should avoid injecting insulin into my thigh if I am going to go running."
"I will increase the intensity of my exercise routine if my urine is positive for ketones."
The Correct Answer is C
Rationale:
A. Carrying a simple carbohydrate snack (not a complex one) is recommended during exercise to prevent hypoglycemia, but this is not the correct statement.
B. Exercising first thing in the morning before eating can cause hypoglycemia due to low glucose levels after fasting.
C. Injecting insulin into the thigh before running can increase absorption rates, leading to hypoglycemia. Rotating injection sites and avoiding muscle groups that will be heavily exercised is recommended.
D. Exercise should be avoided if ketones are present in the urine, as it can indicate inadequate insulin and the risk of diabetic ketoacidosis.
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Correct Answer is A
Explanation
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Correct Answer is A
Explanation
Rationale:
A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.