A newly diagnosed client with type 2 diabetes expresses concern ...

[rmenurse]

A newly diagnosed client with type 2 diabetes expresses concern that he will not be able to maintain his active lifestyle, which includes bicycling.
 
  The nurse instructs the client about risks and precautions regarding exercise including which of the following?
  1. To avoid leisurely bicycling day trips
  2. To avoid strenuous bicycling for long periods of time
  3. It is better for them to exercise for 1 to 2 hours once a week than for 20 minutes 3 days per week
  4. As long as he is not participating in strenuous exercise, there is no need to include warm-up or cool-down exercises

Question 2

A client with coronary heart disease has been meeting with a cardiac rehabilitation nurse for the past 5 weeks. The nurse has provided the client with interventions to increase the client's activity level.
 
  The client states that they don't know if the exercise program is helping. The nurse can assess the effectiveness of the interventions by:
  1. Comparing baseline vital signs with current vital signs
  2. Weighing the client
  3. Asking the client if he feels that he has met his goals
  4. Telling the client that the exercise will only help if the client has a positive atti-tude

[Juro]

Answer to Question 1

ANS: 2
The client with type 2 diabetes can do aerobic exercise at 50 to 75 of maximal oxygen up-take.

Answer to Question 2

ANS: 1
To evaluate the effectiveness of nursing interventions to enhance activity and exercise, make comparisons with baseline measures that include blood pressure, pulse, strength, endurance and psychological well-being.