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 D
Explanation
Rationale:
A. Hyperglycemia typically presents with polyuria, thirst, and blurred vision, rather than sweating and shakiness.
B. Diabetic ketoacidosis presents with symptoms like deep breathing (Kussmaul respirations), fruity breath, and confusion, not sweating and tachycardia.
C. Nephropathy does not cause these acute symptoms; it is a long-term complication involving kidney damage.
D. Hypoglycemia presents with symptoms such as sweating, tachycardia, shakiness, and lightheadedness, which match the client's presentation.
Correct Answer is D
Explanation
Rationale:
A. Fruity breath is a sign of ketoacidosis, a more severe complication of hyperglycemia.
B. Increased thirst (polydipsia) is a common symptom of hyperglycemia due to dehydration caused by high blood glucose levels.
C. Blurry vision may also occur with hyperglycemia, as high blood sugar can affect fluid levels in the eyes.
D. Hyperglycemia is more likely to cause an increased appetite (polyphagia), rather than a decreased one.