A patient is taking insulin each morning. When the insulin peaks, the patient should be observed for which signs of hypoglycemia?
a. Nervousness, hunger, weakness, pallor, and confusion
b. Tachycardia and acetone breath
c. Tachycardia, loss of consciousness, and Kussmaul respirations
d. Serum glucose greater than 150 mg/dL, hunger, and confusion
ANS: A
Hypoglycemia is serum glucose of less than 60 mg/dL, which is caused by taking too much insulin. Symptoms include nervousness; hunger; weakness; cold, clammy skin; and change in the level of consciousness.
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