As part of a teaching plan in preparation for discharge, a patient with type 1 diabetes needs guidelines for exercise. Which guideline should be included?
Insulin should be injected into the lower extremity before exercise because that site provides the greatest absorption.
Keep exercise at a minimum to conserve your energy.
Exercise should be performed daily at the same time of day and at the same intensity.
Plan exercise so that it coincides with the peak action of insulin.
The Correct Answer is C
Rationale:
A. Insulin should not be injected into a limb that will be actively exercised, as it can alter absorption rates and lead to hypoglycemia.
B. Regular, moderate exercise is recommended to improve glucose control, not minimizing it.
C. Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.
D. Exercising at the peak action of insulin increases the risk of hypoglycemia. It is safer to avoid high-intensity exercise during this time.
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Correct Answer is C
Explanation
Rationale:
A. Soaking feet is not recommended for clients with diabetes as it can cause skin maceration and increase the risk of infection.
B. Wearing sandals exposes the feet to injury and is not recommended for clients with diabetes. Closed-toed shoes are better for protecting the feet.
C. Daily foot inspection for sores, cuts, or bruises is essential for clients with diabetes to prevent infections and complications like diabetic ulcers.
D. Lotion should not be applied between the toes because it can promote excess moisture and fungal infections.
Correct Answer is D
Explanation
Rationale:
A. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.
B. Liotrix (Thyrolar) is a combination of T4 and T3 used for hypothyroidism, not hyperthyroidism.
C. Liothyronine (Cytomel) is another thyroid hormone replacement used for hypothyroidism.
D. Propylthiouracil (Propacil) is an antithyroid medication used to treat hyperthyroidism by inhibiting thyroid hormone synthesis.