The nurse teaches an older adult who has diabetes mellitus and takes metoprolol (Lopressor)to recognize clinical indicators of hypoglycemia.Which clinical indicators of hypoglycemia does the nurse include in patient teaching as the indicators this man is most likely to detect?

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Quizplus · Accepted Answer

Dizziness is a clinical indicator of moderate hypoglycemia.It is unlikely to be masked by the effects of metoprolol,a beta-adrenergic blocker,because beta-blockers effectively mask the early signs of hypoglycemia.Weakness is a clinical indicator of moderate hypoglycemia and is unlikely to be masked by the effects of metoprolol.Impaired vision is a clinical indicator of moderate hypoglycemia and is unlikely to be masked by the effects of metoprolol.Shaking is an early clinical indicator of hypoglycemia and likely to be masked by the action of a beta-adrenergic blocker such as metoprolol; beta-blockers oppose the surge of epinephrine in early hypoglycemia.Diaphoresis is an early clinical indicator of hypoglycemia,and it is likely to be masked by the action of a beta-adrenergic blocker such as metoprolol.Increased heart rate is an early clinical indicator of hypoglycemia and is likely to be masked by the action of a beta-adrenergic blocker such as metoprolol.

The Nurse Teaches an Older Adult Who Has Diabetes Mellitus