The nurse is planning client education for a newly diagnosed type 1 diabetic who enjoys running 3 miles several mornings a week. Which of the following responses regarding exercise is appropriate for this client?
"Plan to eat breakfast about an hour before your run."
"Afternoon running is less likely to cause hypoglycemia."
"You may want to run further if your glucose is high."
"You should not take the morning NPH insulin before you run."
The Correct Answer is A
A. Eating a meal or snack about an hour before exercise helps provide energy and reduces the risk of hypoglycemia during physical activity.
B. Hypoglycemia can occur at any time during exercise; afternoon running is not necessarily safer than morning running.
C. Exercising when glucose is high is not recommended because it can worsen hyperglycemia and increase ketone production.
D. Insulin doses should not be skipped without medical advice; NPH insulin is important for glycemic control and should be taken as prescribed, with adjustments made as needed in consultation with a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Creatinine 0.9 mg/dL is within normal limits.
B. Hematocrit 40% is within normal limits.
C. Potassium 3.8 mEq/L is within normal limits.
D. WBC count of 20,000/mm³ indicates infection or inflammation and should be reported before surgery.
Correct Answer is C
Explanation
A. Dependent positioning can increase the risk of venous pooling and thrombosis.
B. Doppler ultrasound may be used if there is a suspicion of thrombosis but is not a standard preventative intervention.
C. Early ambulation and leg exercises promote circulation and reduce the risk of deep vein thrombosis, which is increased by oral contraceptive use.
D. Stopping oral contraceptives pre- or postoperatively is a physician’s decision, not a nursing intervention.
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