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 A
Explanation
A. Hoarseness or changes in voice quality is one of the hallmark symptoms of laryngeal cancer. It occurs due to the tumor affecting the vocal cords or surrounding structures. Hoarseness is often persistent and does not resolve with voice rest or usual treatments for laryngitis.
B. Dysphagia, or difficulty swallowing, can occur in laryngeal cancer, especially if the tumor affects the structures involved in swallowing. However, dysphagia typically occurs later in the course of the disease as the tumor grows and obstructs the passage of food or liquids.
C. Weight loss can be a symptom of advanced laryngeal cancer but is less commonly reported as an early manifestation. Significant weight loss may occur as a result of difficulty eating due to dysphagia or as a generalized effect of cancer on the body.
D. Dyspnea, or difficulty breathing, is not typically an early manifestation of laryngeal cancer unless the tumor is large and obstructs the airway. It is more commonly associated with advanced disease or tumors that have spread to nearby structures.
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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