A client on insulin therapy is planning to engage in increased physical activity. How should the nurse advise the client about monitoring and adjusting insulin therapy?
Decrease the insulin dose before physical activity to prevent hypoglycemia.
Skip insulin doses on days of increased physical activity.
Monitor blood glucose levels more frequently and adjust insulin doses as needed.
Administer extra insulin doses before physical activity to cover increased glucose needs.
The Correct Answer is C
Increased physical activity can affect blood glucose levels, and the client should monitor levels more frequently and adjust insulin doses to maintain glucose control.
Incorrect choices:
a. Decreasing insulin doses without proper monitoring can lead to hypoglycemia during or after physical activity.
b. Skipping insulin doses can result in elevated blood glucose levels and is not recommended.
d. Administering extra insulin doses without monitoring blood glucose levels can lead to unpredictable outcomes and potential harm.
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Related Questions
Correct Answer is D
Explanation
Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.
Incorrect choices:
a. Administering a long-acting insulin injection would not address the immediate need to raise blood sugar levels during an episode of hypoglycemia.
b. Providing a high-fat snack would not rapidly increase blood sugar levels and alleviate symptoms of hypoglycemia.
c. Giving a rapid-acting insulin injection would further lower blood sugar levels and worsen hypoglycemia symptoms.
Correct Answer is B
Explanation
Treating hypoglycemia promptly is crucial to prevent more severe symptoms or complications. Waiting until blood sugar drops very low can lead to a dangerous situation.
Incorrect choices:
a. Carrying a source of fast-acting carbohydrates, like glucose tablets or juice, helps quickly raise blood sugar levels during an episode of hypoglycemia.
c. Checking blood sugar levels when experiencing symptoms of hypoglycemia helps confirm if blood sugar is low and guides appropriate treatment.
d. Notifying the healthcare provider about frequent hypoglycemia episodes is important to adjust the diabetes management plan and prevent future occurrences.
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