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 B
Explanation
A. This statement suggests that outcomes are unpredictable and not influenced by factors such as adherence to a medical regimen or behavioral changes. According to the Theory of Reasoned Action/Planned Behavior, behavior is influenced by attitudes and intentions, which can be assessed and potentially modified through education and intervention.
B. Poor adherence to the recommended medical regimen (such as diet, exercise, and possibly medication) increases the risk of complications in individuals with diabetes mellitus. According to the Theory of Reasoned Action/Planned Behavior, if the client has negative attitudes toward the meal plan and exercise regimen (low motivation), and if they perceive these behaviors as difficult to perform (low perceived behavioral control), they are less likely to adhere to the plan. This could lead to poor outcomes, including complications related to diabetes.
C. This option suggests that outcomes will not significantly differ regardless of the client's adherence to the medical regimen or behavioral changes. However, according to the Theory of Reasoned Action/Planned Behavior, attitudes, subjective norms, and perceived behavioral control influence behavior and subsequently affect outcomes.
D. Education plays a critical role in the Theory of Reasoned Action/Planned Behavior. By providing education, the nurse can influence the client's attitudes and perceptions regarding the importance and feasibility of adhering to the meal plan and starting an exercise regimen.
Correct Answer is B
Explanation
A. This response acknowledges the parent's concern but maintains confidentiality regarding the report. It offers to involve the supervisor, which is a reasonable step. However, it may leave the parent feeling uneasy or uncertain.
B. This response directly informs the parent about the legal obligation of the nurse to report suspected child abuse. It provides clarity on why the nurse took action. However, it might be perceived as abrupt or lacking empathy.
C. This response suggests that someone else (possibly a healthcare provider or another authority figure) will explain the situation later. It doesn't directly address the reason for the nurse's action or the legal requirement to report.
D. This response explains the chain of events, from reporting to the supervisor's decision to contact authorities. It provides information but might not directly address the parent's emotional concern or the legal obligation of the nurse.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.