A nurse is providing health education to a teenage client newly diagnosed with type 1 diabetes mellitus, as well as the client's family. The nurse teaches the client and family nonpharmacologic measures that will decrease the body's need for insulin. What measure provides the greatest impact on glucose reduction?
Adequate sleep
Low stimulation
Exercise
Low-fat diet
The Correct Answer is C
A. While adequate sleep supports overall health and metabolic function, it does not significantly reduce the body’s need for insulin in the short term.
B. Low stimulation may reduce stress but has minimal direct impact on glucose metabolism.
C. Exercise increases insulin sensitivity, promotes glucose uptake by muscle cells, and significantly lowers blood glucose levels, making it the most effective nonpharmacologic strategy to reduce insulin needs.
D. A low-fat diet may benefit cardiovascular health, but carbohydrate intake and physical activity have a more direct impact on insulin needs and glucose control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Type 1 diabetes is characterized by autoimmune destruction of pancreatic beta cells, leading to an absolute insulin deficiency. It typically presents in children or adolescents with symptoms of hyperglycemia.
B. Type 2 diabetes involves insulin resistance and relative insulin deficiency, not beta cell destruction.
C. Non-insulin-dependent diabetes is another term for type 2 diabetes and does not involve beta cell destruction.
D. Prediabetes involves impaired glucose tolerance or insulin resistance without full-blown hyperglycemia or beta cell destruction.
Correct Answer is B
Explanation
A. Verbal explanation shows understanding but does not confirm the client can perform the skill correctly.
B. Direct observation allows the nurse to accurately assess the client’s technique, identify any errors, and provide immediate feedback — making it the most effective method.
C. Education is important but does not evaluate the client's skill performance.
D. Hemoglobin A1c reflects long-term glucose control and cannot assess immediate insulin administration competency, especially prior to discharge.
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