Ms N Is a Hospice Client Who Has Had Insulin-Dependent

Ms. N is a hospice client who has had insulin-dependent diabetes mellitus (type 1 diabetes) for many years. The visiting nurse asks the client and caregiver to relate the client's history of clinical signs and symptoms of hypoglycemia. The nurse is concerned because of which of the following reasons?

A) Often no signs and symptoms of impending coma are shown because of epinephrine deficiency.
B) With approaching death, hyperglycemia needs to be steadfastly avoided.
C) Ketoacidosis is particularly hazardous for the client with a terminal illness.
D) A change in type or dose of insulin may be required to counterbalance the client's hypersensitivity to the drug.