NCLEX-PN

●​ Weakness : A feeling of weakness or general malaise may be reported. ●​ Orthostatic Hypotension : Clients may experience a drop in blood pressure when changing positions, leading to dizziness or fainting. Signs and Symptoms of Hypoglycemia (Low Blood Sugar) : Hypoglycemia occurs when blood glucose levels are too low. Nurses assess clients for the following signs and symptoms of hypoglycemia: ●​ Low Blood Glucose Levels : Confirmation through blood glucose monitoring is essential, with levels typically less than 70 mg/dL indicating hypoglycemia. ●​ Headache : Clients may report headaches. ●​ Anxiety : Feelings of anxiety or nervousness may occur.

●​ Slurred Speech : Speech may become difficult to understand. ●​ Dizziness : Clients may experience lightheadedness or vertigo. ●​ Diaphoresis : Profuse sweating, especially in the upper body, can be a symptom.

●​ Irritability : Clients may become easily agitated or irritable. ●​ Hunger : Sudden hunger or a strong desire to eat may be present.

Severe Hypoglycemia with levels less than 54 mg/dL (Hypoglycemic Crisis) can include: ●​ Alterations in Consciousness : This may include confusion or unconsciousness. ●​ Lethargy : Clients may become extremely drowsy or lethargic. ●​ Convulsions or Seizures : Seizures can occur in severe cases. ●​ Clumsiness and Lack of Coordination : Clients may exhibit poor motor skills. ●​ Muscular Weakness : Muscle strength may be compromised. ●​ Agitation : Restlessness or agitation can be observed. ●​ Coma : Severe hypoglycemia may progress to a comatose state. Signs and Symptoms of Diabetic Ketoacidosis (DKA) : DKA is a life-threatening condition associated with very high blood glucose levels. Primarily seen in type 1 diabetes. Signs and symptoms of DKA include: ●​ Ketones in the Urine : Ketone bodies can be detected in the urine. ●​ Very High Blood Glucose Levels : Blood glucose levels are significantly elevated. ●​ Fruity Odor on Breath : Clients may have a distinct fruity or acetone-like breath odor.

486

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​