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As part of a teaching plan in preparation for discharge, a patient with type 1 diabetes needs guidelines for exercise. Which guideline should be included?

A.

Insulin should be injected into the lower extremity before exercise because that site provides the greatest absorption.

B.

Keep exercise at a minimum to conserve your energy.

C.

Exercise should be performed daily at the same time of day and at the same intensity.

D.

Plan exercise so that it coincides with the peak action of insulin.

Answer and Explanation

The Correct Answer is C

A. Insulin should not be injected into a limb that will be actively exercised, as it can alter absorption rates and lead to hypoglycemia.  
B. Regular, moderate exercise is recommended to improve glucose control, not minimizing it.  
C. Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.  
D. Exercising at the peak action of insulin increases the risk of hypoglycemia. It is safer to avoid high-intensity exercise during this time.
 


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Related Questions

Correct Answer is ["3.8"]

Explanation

To calculate the dose per administration, we need to determine the total daily dose and then divide it by the number of doses per day.

  1. Convert pounds to kilograms:
    • 22 lb (1 kg / 2.2 lb) = 10 kg
  2. Calculate the total daily dose:
    • 1.5 mg/kg/day 10 kg = 15 mg/day
  3. Determine the dose per administration:
    • 15 mg/day / 4 doses/day = 3.75 mg/dose
  4. Calculate the volume to administer:
    • 3.75 mg / 1 mg/mL = 3.75 mL

Therefore, the nurse should administer = 3.8 mL

Correct Answer is D

Explanation

A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.

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