Question: What will the nurse teach the client with diabetes regarding exercise in his or her treatment program?
1. During exercise the body will use carbohydrates for energy production, which in turn will decrease the need for insulin
2. With an increase in activity, the body will use more carbohydrates; therefore more insulin will be required
3. The increase in activity results in an increase in the use of insulin; therefore the client should decrease his or her carbohydrate intake
4. Exercise will improve pancreatic circulation and stimulate the islets of Langerhans to increase the production of intrinsic insulin
Rationale: As carbohydrates are used for energy, insulin needs decrease. Therefore during exercise, carbohydrate intake should be increased to cover the increased energy requirements. The beneficial effects of regular exercise may result in a decreased need for diabetic medications in order to reach target blood glucose levels. Furthermore, it may help to reduce triglycerides, LDL cholesterol levels, increase HDLs, reduce blood pressure, and improve circulation.
This week’s NCLEX exam practice question came from:
Zerwekh: Illustrated Study Guide for the NCLEX-RN Exam, 7th Edition, Chapter 13, pg 251, Question7
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