A Program of Weight Loss and Exercise Is Recommended for a Patient

question 32

Multiple Choice

A program of weight loss and exercise is recommended for a patient with insulin resistance syndrome.When the patient asks why these measures are necessary when she really does not have diabetes,what should the nurse explain?

• A) The high insulin levels associated with this syndrome damage the lining of blood vessels and cause osmotic diuresis.
• B) Although her fasting plasma glucose levels do not indicate diabetes,she has impaired glucose tolerance,which is characteristic of the syndrome.
• C) The liver is inappropriately producing glucose,which will eventually exhaust the ability of the pancreas to produce insulin,and exercise will normalize glucose production.
• D) She has a variety of abnormalities associated with diabetes,which indicate a very high risk for cardiovascular disease,and the onset of diabetes can be delayed or prevented by weight loss and exercise.

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Definitions:

Resolving Phase

The stage in conflict resolution or therapy where solutions are identified, agreed upon, and plans for implementation are made.

Typical Day Strategy

A planning approach that involves outlining a normal or average day's activities, meals, or tasks to establish a routine or improve productivity.

Exploration-Education

A teaching approach that combines investigation and learning to enhance understanding and retention of information.

Exploration-Education Phase

A stage in a process or intervention where individuals are introduced to and begin to explore new concepts, skills, or behaviors, often accompanied by educational efforts.