A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)

A. Pain management is important during labor, but in this scenario, the priority is not pain relief but rather addressing potential complications or needs related to the vital signs and labor progress.
B. This position can help improve blood flow to the uterus and placenta, which is crucial given the low maternal blood pressure (92/54 mm Hg). This action can help stabilize the client's condition while further assessments and interventions are planned.
C. Emptying the bladder is often recommended during labor to ensure there is no obstruction to the progress of labor and to reduce the risk of urinary retention. While important, it is not the priority action based on the information provided.
D. The nurse also needs to report the contraction pattern (duration of 1 min, frequency of 3 min) and fetal heart rate (130/min) to ensure appropriate monitoring and management by the healthcare provider. However, this should not delay lifesaving interventions such as positioning.

A. Keeping the client in a semi-Fowler's position (with the head of the bed elevated to 30-45 degrees) can help improve lung expansion and reduce the feeling of congestion. This position facilitates easier breathing but has no direct role in expectoration.
B. Adequate hydration helps to thin bronchial secretions, making them easier to cough up and clear from the airways. This is particularly beneficial for clients with COPD who often have thick, sticky mucus that is difficult to expectorate. Drinking sufficient water helps keep the mucus more liquid and less likely to block air passages.
C. Oxygen therapy is essential for clients with COPD to maintain adequate oxygen levels, but it does not directly address the issue of tenacious bronchial secretions. However, ensuring adequate oxygenation can indirectly support the client's ability to mobilize and expectorate secretions by improving overall respiratory function.
D. A low-salt diet is important for managing conditions like hypertension and heart failure, but it does not directly impact the client's ability to clear bronchial secretions in COPD. While overall health management is crucial, dietary changes do not play a direct role in managing respiratory secretions.