A nurse interviews an older nondiabetic client during an appointment for a yearly physical examination. Which of the statements made by the client are most suggestive of a possible diagnosis of diabetes to the nurse?
1. "I feel a bit tired by midafternoon and take a 30-minute nap most days.".
2. "I've been experiencing blurred vision frequently during the past month.".
3. "I sometimes have muscle aches in my upper legs at night.".
4. "I'm slightly winded when I walk up a flight of stairs, but it passes quickly.".
2. "I've been experiencing blurred vision frequently during the past month.".
Rationale:
Blurred vision can be associated with high glucose levels and may be a symptom of undiagnosed diabetes mellitus. Fatigue that responds to a short nap, having some muscle aches at night, and being slightly short of breath after walking up a flight of stairs with a quick recovery may be within the normal functioning of a healthy older client.
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