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.)
Tachycardia
Polydipsia
Polyuria
Blurred vision
Moist, clammy
Correct Answer : A,D,E
A. Tachycardia, or increased heart rate, can occur during hypoglycemia as a result of the body's response to low blood sugar levels. The sympathetic nervous system is activated, leading to increased adrenaline (epinephrine) release, which can cause palpitations and tachycardia.
B. Polydipsia refers to excessive thirst. It is typically a symptom of hyperglycemia (high blood sugar levels) rather than hypoglycemia. During hypoglycemia, thirst is not a common symptom.
C. Polyuria refers to excessive urination. Similar to polydipsia, it is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia. Hypoglycemia typically does not cause polyuria.
D. Blurred vision can occur during hypoglycemia due to changes in the shape of the lens in the eye caused by altered fluid balance due to low blood sugar levels.
E. Moist, clammy skin is a common manifestation of hypoglycemia. When blood sugar levels drop, the body's autonomic nervous system responds by releasing adrenaline, which can cause sweating and clamminess.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.
Correct Answer is D
Explanation
A. An inguinal hernia typically does not directly contribute to an increased risk of falls. It is a condition where tissues, such as part of the intestine, protrude through a weak spot in the abdominal muscles. While it may require caution with certain movements or heavy lifting to prevent exacerbation, it is not typically associated with balance or mobility issues that would increase fall risk.
B. Hyperthyroidism is a condition where the thyroid gland produces excessive thyroid hormone. Symptoms may include nervousness, tremors, rapid heart rate (palpitations), and muscle weakness. While muscle weakness could potentially contribute to an increased fall risk, it's not typically a primary factor unless the weakness is severe or affecting lower extremity strength significantly.
C. Hyperlipidemia refers to elevated levels of lipids (fats) in the blood, such as cholesterol and triglycerides. While it is a risk factor for cardiovascular disease, it does not directly increase the risk of falls.
D. Multiple sclerosis (MS) is a neurological condition that can cause a wide range of symptoms, including muscle weakness, coordination problems, and balance issues. These neurological impairments significantly increase the risk of falls due to impaired mobility and balance control.
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