A nurse is assessing a client with type 2 diabetes who is overweight. The client expresses interest in beginning a regular exercise routine to support weight loss and blood glucose control. Which of the following should be the nurse's first action?
Instruct the client to consume a carbohydrate snack before each workout.
Recommend moderate-intensity exercise for at least 150 minutes per week.
Encourage the client to join a gym or supervised fitness program.
Assess the client’s current physical activity level and readiness for exercise.
The Correct Answer is D
A. Instruct the client to consume a carbohydrate snack before each workout.
This may be needed later, especially if on medications like insulin or sulfonylureas, but the first step is to assess the client’s readiness and current activity level.
B. Recommend moderate-intensity exercise for at least 150 minutes per week.
This is the goal, but before recommending a regimen, the nurse should first assess the client’s current capabilities and readiness.
C. Encourage the client to join a gym or supervised fitness program.
While helpful, this is not the first step. Readiness, motivation, and baseline fitness must be assessed first.
D. Assess the client’s current physical activity level and readiness for exercise.
This is the first action according to the nursing process (assessment first). It allows the nurse to provide individualized guidance and ensure safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Antioxidants are vitamins and minerals that help neutralize free radicals and protect cells from damage."
Antioxidants like vitamin C, E, and selenium help prevent oxidative stress.
B. "Antioxidants are only found in animal-based foods like dairy and meat."
Antioxidants are mostly found in fruits, vegetables, nuts, and whole grains, not exclusively in animal products.
C. "Antioxidants are a type of fat stored in the liver to provide long-term energy."
This describes lipids, not antioxidants.
D. "Antioxidants are harmful substances that increase inflammation in the body."
Antioxidants are beneficial substances that reduce oxidative damage and inflammation.
Correct Answer is A
Explanation
A. Smoking cigarettes regularly
Smoking introduces harmful chemicals that significantly increase oxidative stress and the production of free radicals, which damage cells and contribute to chronic diseases like cancer and cardiovascular disease.
B. Consuming a diet rich in fruits and vegetables
Fruits and vegetables contain antioxidants that neutralize free radicals and help reduce their damaging effects.
C. Engaging in regular moderate physical activity
Moderate physical activity actually reduces oxidative stress over time by enhancing the body’s antioxidant defenses.
D. Getting 7–9 hours of sleep each night
Adequate sleep supports immune function and reduces oxidative stress. Lack of sleep—not healthy sleep—is more likely to increase free radicals.
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