The nurse is completing an assessment interview with a client being seen for a yearly physical examination. Which client statement would indicate a possible diagnosis of diabetes mellitus?
A) "I'm slightly winded when I walk up a flight of stairs, but it passes quickly."
B) "I feel a bit tired by mid-afternoon and take a 30-minute nap most days."
C) "I sometimes have muscle aches in my upper legs at night."
D) "I've been experiencing increased thirst during the past several months."
Answer: D
Excessive thirst 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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