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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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Shakiness is a common symptom of hypoglycemia, often caused by the body's release of adrenaline in response to low blood glucose levels.
B. Hypoglycemia typically causes an increase in hunger, not a decreased appetite, as the body attempts to correct low glucose levels.
C. Cool, clammy skin is associated with hypoglycemia due to the body's stress response, not warm, moist skin.
D. Increased thirst (polydipsia) is a symptom of hyperglycemia, not hypoglycemia.
Correct Answer is D
Explanation
Rationale:
A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.