A diagnosed type 2 diabetes Patient was recommended to follow a 1200-calorie diet and exercise plan. The patient tells the nurse, “I hate to exercise! Can't I just follow the diet to keep my glucose under control?” The nurse teaches the patient that the major purpose of exercise for diabetics is to?
facilitate weight loss, which will decrease peripheral insulin resistance.
improve cardiovascular endurance, which Is important for diabetics.
set a successful patern, which will help in making other needed changes.
increase energy and sense of well-being, which will help with body image.
The Correct Answer is A
Exercise can help to lower blood glucose levels by improving insulin sensitivity and glucose uptake by muscles. It also helps with weight loss, which is important for managing type 2 diabetes since excess weight can make it harder for insulin to work properly. The nurse can also discuss with the patient other ways to make exercise more enjoyable, such as finding a physical activity that they enjoy, like dancing, swimming, or walking with a friend or family member.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Kegel exercises are designed to strengthen the pelvic floor muscles, which can help improve urinary incontinence. By teaching the patient how to perform Kegel exercises, the nurse can provide a non-invasive, effective intervention that the patient can perform on her own to help manage her urinary incontinence.
Assisting the patient to the bathroom q3hr (b) may help reduce the frequency of incontinence episodes but it does not address the underlying issue of weakened pelvic floor muscles.
Demonstrating how to perform Crede’s maneuver (c) involves applying manual pressure to the bladder to assist with urination and is not appropriate for managing urinary incontinence related to laughing or coughing.
Placing a commode at the patient’s bedside (d) may be appropriate for patients who have difficulty with mobility or accessing the bathroom, but it does not address the underlying issue of weakened pelvic floor muscles causing urinary incontinence.
Correct Answer is B
Explanation
Diabetes insipidus is a condition where the body is not able to regulate water balance properly, leading to excessive urine output and dehydration. The patient's urine output of 800 ml/hr (option A) and low urine specific gravity of 1.003 (option C) is consistent with diabetes insipidus and requires monitoring, but they are not as immediately concerning as the patient's confusion and lethargy.
Confusion and lethargy may indicate severe dehydration, electrolyte imbalances, or even brain swelling (if the patient had a recent head injury, as mentioned in option D). These symptoms require immediate attention to prevent further complications and ensure the patient's safety.
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