A client with diabetes has proliferative retinopathy, nephropathy, and peripheral neuropathy. Which statement by the client indicates a good understanding of the disease and exercise?
a. "Because I have so many complications, I guess exercise is not a good idea."
b. "I have so many complications that I bet-ter exercise hard to keep from getting worse."
c. "I love to walk outside, but I probably better avoid doing that now."
d. "I should look into swimming or water aerobics to get my exercise."
D
Exercise is not contraindicated for this client, although modifications based on existing patholo-gy are necessary to prevent further injury. Swimming or water aerobics will give the client exer-cise without the worry of having the correct shoes or developing a foot injury. The client can walk outside if this is the exercise that he or she prefers. The client should not exercise too vigo-rously.
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