Program Design & Implementation Flashcards

A client with type 2 diabetes who uses insulin has a pre-exercise blood glucose of 85 mg/dL. What is the most appropriate action?

Answer: Consume 15-30 g of carbohydrate before starting

Glucose below about 100 mg/dL in insulin users calls for a carbohydrate snack before exercise to prevent hypoglycemia.

Which intensity-monitoring method is most appropriate for a client taking beta-blockers?

Answer: Rating of perceived exertion (RPE)

Beta-blockers blunt heart-rate response, so RPE or the talk test better reflects exercise intensity.

Which exercise should generally be avoided for a client with osteoporosis of the spine?

Answer: Weighted sit-ups with spinal flexion

Loaded spinal flexion and twisting increase vertebral compression fracture risk in osteoporosis.

A client with knee osteoarthritis reports increased joint pain lasting more than 2 hours after the previous session. What should the specialist do?

Answer: Reduce the volume or intensity of the next session

Pain persisting more than 2 hours post-exercise signals the workload was excessive and should be reduced.

Which breathing technique is commonly taught to clients with COPD to reduce dyspnea during exercise?

Answer: Pursed-lip breathing

Pursed-lip breathing slows respiration and helps prevent airway collapse, easing breathlessness.

For a deconditioned client with obesity, which aerobic variable should usually be progressed first?

Answer: Duration

Increasing duration before intensity improves tolerance and caloric expenditure with lower injury risk.

A commonly cited guideline limits weekly increases in training volume to approximately what amount?

Answer: 10%

Limiting increases to about 10% per week helps avoid overuse injury while applying progressive overload.