A client taking glipizide needs to be educated on signs and symptoms of hypoglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY.

Choice A reason: This statement is false. The client does not need to report dry cough and nose bleed with gemfibrozil, as these are not common or serious side effects of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. It does not affect the respiratory system or the blood clotting.

Choice B reason: This statement is true. The client should report abdominal pain and jaundice with gemfibrozil, as these are signs of liver damage, which is a rare but serious complication of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. However, it can also cause hepatotoxicity, which is a damage to the liver cells. Hepatotoxicity can cause abdominal pain, jaundice, dark urine, or clay-colored stools. The client should stop the medication and seek medical attention immediately.

Choice C reason: This statement is false. The client does not need to report constipation and dry skin with gemfibrozil, as these are not common or serious side effects of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. It does not affect the bowel function or the skin hydration.

Choice D reason: This statement is false. The client does not need to report nausea and flatulence with gemfibrozil, as these are mild and temporary side effects of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. It can cause some gastrointestinal discomfort, such as nausea, flatulence, or diarrhea, but these usually subside with time or with food. The client can take the medication with meals or snacks to reduce the nausea and flatulence.

Choice A reason: This statement is true. The nurse should include weight gain as a sign of hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones. Thyroid hormones regulate the metabolism and energy expenditure of the body. When the thyroid hormones are low, the metabolism slows down and the body tends to store more fat.

Choice B reason: This statement is false. The nurse should not include diarrhea as a sign of hypothyroidism, as diarrhea is more common with hyperthyroidism, which is a condition where the thyroid gland produces too much thyroid hormones. When the thyroid hormones are high, the metabolism speeds up and the bowel movements become more frequent and loose.

Choice C reason: This statement is true. The nurse should include confusion as a sign of hypothyroidism, as confusion is caused by the lack of thyroid hormones in the brain. Thyroid hormones are essential for the normal function and development of the nervous system. When the thyroid hormones are low, the mental processes become sluggish and impaired.

Choice D reason: This statement is true. The nurse should include bradycardia as a sign of hypothyroidism, as bradycardia is a slow heart rate, usually below 60 beats per minute. Thyroid hormones affect the cardiac output and contractility of the heart. When the thyroid hormones are low, the heart rate and blood pressure decrease.

Choice E reason: This statement is true. The nurse should include cold intolerance as a sign of hypothyroidism, as cold intolerance is a reduced ability to maintain body temperature in cold environments. Thyroid hormones are involved in the thermoregulation of the body. When the thyroid hormones are low, the body produces less heat and shivers more.