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 D
Explanation
A. Clean drinking water is crucial for preventing waterborne diseases, which are transmitted through contaminated water sources (indirect transmission). It does not directly address diseases transmitted from person to person (direct transmission).
B. Proper sanitation practices, such as hand hygiene, proper disposal of waste, and sanitation of living environments, can prevent the spread of diseases transmitted through direct contact (e.g., fecal-oral route, respiratory droplets). Effective sanitation reduces the contamination of surfaces and objects that can harbor infectious agents, thereby interrupting direct transmission routes.
C. Pest control primarily targets diseases transmitted by vectors (such as mosquitoes, ticks, rodents) and is important for preventing diseases like malaria, dengue fever, and Lyme disease. While vector control is essential for preventing these diseases, it does not directly address diseases transmitted directly from person to person.
D. Isolation involves separating individuals who are infected or suspected of being infected from others to prevent the spread of disease. Isolation measures are crucial for controlling diseases that are highly contagious and spread through direct contact (e.g., airborne transmission, close personal contact). By isolating infected individuals, the nurse can effectively prevent direct transmission within the community.
Correct Answer is A
Explanation
A. A care coordinator role involves organizing and facilitating the delivery of healthcare services to ensure that the client's needs are met in a timely and efficient manner. This includes coordinating care plans, scheduling appointments, communicating between healthcare providers, and ensuring continuity of care. The nurse acts as a central point of contact and coordination for the client's healthcare team, ensuring all aspects of care are addressed.
B. A counselor role involves providing emotional support, guidance, and counseling to clients and their families. While nurses may provide counseling as part of their care, it typically focuses on health-related issues and coping strategies rather than organizing interprofessional teams.
C. An educator role involves providing information, teaching, and training to clients, families, and healthcare team members. Nurses educate clients about their health conditions, treatments, and self- care practices. They also educate other healthcare professionals on best practices, new treatments, and protocols. While education is crucial for effective teamwork, it alone does not encompass organizing interprofessional teams.
D. A researcher role involves conducting scientific inquiry and research to advance knowledge and improve healthcare practices. Researchers contribute to evidence-based practice by generating new knowledge through research studies. While research may influence healthcare teams' decisions and practices, it is not directly related to organizing interprofessional teams for client care.
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