Aron's father (with type 2 diabetes) has been encouraged to increase his exercise level. Exercise is encouraged in type 2 diabetes because:
Exercise decreases cardiovascular effects of excessive glucose.
Skeletal muscles can use glucose without a proportionate insulin amount.
Exercise decreases stress.
All of these are correct.
The Correct Answer is D
Choice A reason: Exercise has been shown to decrease the cardiovascular effects of excessive glucose. Regular physical activity helps improve cardiovascular health by reducing blood pressure, improving cholesterol levels, and enhancing blood flow. In individuals with type 2 diabetes, exercise can help lower blood glucose levels and reduce the risk of cardiovascular complications, which are common in diabetes due to chronic high blood glucose levels.
Choice B reason: Skeletal muscles can indeed use glucose without a proportionate insulin amount during exercise. This is because exercise increases insulin sensitivity and allows muscles to take up glucose more efficiently. As a result, physical activity can help lower blood glucose levels and improve overall glucose control in individuals with type 2 diabetes.
Choice C reason: Exercise decreases stress, which is beneficial for individuals with type 2 diabetes. Physical activity helps release endorphins, which are natural stress relievers. Lower stress levels can help improve blood glucose control, as stress hormones like cortisol can raise blood glucose levels. Therefore, reducing stress through exercise can contribute to better diabetes management.
Choice D reason: All of the above reasons are correct. Exercise is encouraged in type 2 diabetes because it provides multiple benefits, including improving cardiovascular health, enhancing glucose uptake by skeletal muscles, and reducing stress levels. These combined effects help improve overall blood glucose control and reduce the risk of complications associated with type 2 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Individuals with diabetes are at a higher risk for infections due to several factors, including high blood sugar levels, poor blood circulation, and a weakened immune system. Common infections include urinary tract infections, skin infections, and respiratory infections. Poor wound healing is also a common issue in diabetics.
Choice B reason: Microvascular complications are directly related to the damage caused by high blood sugar levels to small blood vessels. This category includes diabetic retinopathy, which affects the eyes; diabetic nephropathy, which affects the kidneys; and diabetic neuropathy, which affects the nerves. These complications can lead to severe health issues like blindness, kidney failure, and debilitating nerve pain.
Choice C reason: Macrovascular complications involve damage to larger blood vessels and can lead to serious cardiovascular diseases. This includes coronary artery disease, peripheral arterial disease, and stroke. The risk of these complications is significantly increased in individuals with diabetes due to the combination of high blood sugar levels, high blood pressure, and high cholesterol.
Choice D reason: Neuropathy is a common complication of diabetes that affects the nerves. Diabetic neuropathy can cause numbness, tingling, pain, and weakness, primarily in the hands and feet. This condition can also lead to serious issues such as foot ulcers and infections due to the loss of sensation and poor blood circulation.
Correct Answer is A
Explanation
Choice A reason: Neuropathy, particularly diabetic neuropathy, is often caused by the thickening, sclerosis (hardening), obstruction, and ischemia (reduced blood flow) of the small blood vessels that supply the nerves (vasa nervorum). This can lead to nerve degeneration, delayed nerve conduction, and impaired sensory function. Over time, high blood glucose levels can damage these small blood vessels, leading to neuropathy.
Choice B reason: While hyperglycemia (high blood glucose levels) is a major factor in the development of diabetic neuropathy, it is the resulting damage to the blood vessels supplying the nerves that directly causes the nerve degeneration and delayed conduction.
Choice C reason: Thickening of blood is not a direct cause of neuropathy. Neuropathy is more directly related to the damage and obstruction of the small blood vessels that supply the nerves.
Choice D reason: Hypoglycemia (low blood glucose levels) does not cause neuropathy. In fact, the acute effects of hypoglycemia are typically neurological symptoms such as confusion, seizures, and loss of consciousness. Chronic nerve damage, as seen in neuropathy, is usually due to prolonged hyperglycemia and its effects on blood vessels.
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