The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?
Recommend an increase in caloric intake to avoid excessive weight loss.
Reassure the parents that increased physical activity reduces the risk for diabetes.
Suggest a less strenuous activity to reduce the risk for dehydration.
Instruct the family about the need to adjust the insulin dose before exercise.
The Correct Answer is B
A. Recommend an increase in caloric intake to avoid excessive weight loss. While regular physical activity can increase caloric expenditure, it is not typically associated with excessive weight loss, especially in children. Prediabetes management focuses on lifestyle changes such as increased physical activity and healthy eating habits rather than increasing caloric intake.
B. Reassure the parents that increased physical activity reduces the risk for diabetes. Regular physical activity is beneficial for individuals with prediabetes as it improves insulin sensitivity, helps control weight, and reduces the risk of developing type 2 diabetes.
C. Suggest a less strenuous activity to reduce the risk for dehydration. Soccer can be a physically demanding sport, but proper hydration practices can help prevent dehydration. Encouraging the child to drink plenty of fluids before, during, and after soccer practice or games can help
maintain hydration levels.
D. Instruct the family about the need to adjust the insulin dose before exercise. Prediabetes typically does not require insulin therapy. However, if the child progresses to diabetes and requires insulin, adjustments to insulin doses may be necessary to prevent hypoglycemia during exercise, but this is not relevant to the current scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clients who are between the ages of 19 and 64-years-old. While adults in this age range do need to maintain good hydration, their water needs are not as increased as those of lactating mothers.
B. Older adult clients who are receiving dialysis twice a week. These clients typically have fluid restrictions to manage fluid balance and prevent complications related to dialysis and kidney function.
C. Adolescent females who are menstruating. Although menstruating females do need to stay hydrated, their water requirements are not as high as those of lactating mothers.
D. Lactating mothers who are breastfeeding. Breastfeeding mothers require significantly more water to support milk production. Increased fluid intake is necessary to replace the fluids lost through breastfeeding and ensure both the mother's and the baby's hydration needs are met.
Correct Answer is C
Explanation
A. Baked sweet potato. Sweet potatoes are healthy but low in sodium, which is not ideal for someone with hyponatremia who needs to increase their sodium intake.
B. Lettuce and tomato salad. While nutritious, this salad is low in sodium and would not help in correcting hyponatremia.
C. Ham and cheese sandwich. Ham and cheese are both high in sodium, making this sandwich a suitable choice for someone needing to increase their sodium levels to address hyponatremia.
D. Fruit salad with bananas. Fruit salads are generally low in sodium, and while bananas are nutritious, they do not provide the needed sodium for someone with hyponatremia.
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