RN Nursing · Nutrition · Practice question
The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?
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✓
Reassure the parents that increased physical activity reduces the risk for diabetes
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Recommend an increase in caloric intake to avoid excessive weight loss
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Suggest a less strenuous activity to reduce the risk for dehydration
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Instruct the family about the need to adjust the insulin dose before exercise
Answer & explanation
Correct: Reassure the parents that increased physical activity reduces the risk for diabetes
Prediabetes is a condition in which blood glucose levels are elevated above normal but not yet in the diabetic range. Regular physical activity is a well-established, evidence-based intervention for reducing the progression from prediabetes to type 2 diabetes. Exercise improves insulin sensitivity, aids in weight management, and helps regulate blood glucose levels. Reassuring the parents that increased physical activity reduces the risk for diabetes is the most appropriate action because it encourages a healthy lifestyle behavior that is directly beneficial for the child's condition. Children with prediabetes are not typically on insulin, so instructing the family about adjusting insulin doses before exercise is incorrect and potentially dangerous — insulin is not indicated for prediabetes management in children. Suggesting a less strenuous activity to reduce the risk for dehydration is overly cautious and discourages beneficial physical activity without clinical justification. Recommending increased caloric intake to avoid excessive weight loss is inappropriate because weight management and avoiding obesity are actually therapeutic goals in prediabetes; excessive caloric intake could worsen the condition. The nurse's role is to support and encourage the family's interest in physical activity as part of a comprehensive lifestyle modification strategy.
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