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Exam NCLEX-RN topic 6 question 58 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 58
Topic #: 6
[All NCLEX-RN Questions]

When discussing the relationship between exercise and insulin requirements, a 26-year-old client with IDDM should be instructed that:

  • A. When exercise is increased, insulin needs are increased
  • B. When exercise is increased, insulin needs are decreased
  • C. When exercise is increased, there is no change in insulin needs
  • D. When exercise is decreased, insulin needs are decreased
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Suggested Answer: B 🗳️
(A) If the clients insulin is increased when activity level is increased, hypoglycemia may result. (B) Exercise decreased the blood sugar by promoting uptake of glucose by the muscles. Consequently, less insulin is needed to metabolize ingested carbohydrates. Extra food may be required for extra activity. (C) This statement directly contradicts the correct answer and is inaccurate. (D) When exercise is decreased, the clients insulin dose does not need to be altered unless the blood sugar becomes unstable.

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