A client taking glipizide needs to be educated on signs and symptoms of hypoglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY.

Choice A reason: This statement is true. The client should report black or bloody bowel movements, as they may indicate gastrointestinal bleeding, which is a serious complication of warfarin therapy. Warfarin is an anticoagulant that prevents blood clots, but it can also increase the risk of bleeding.

Choice B reason: This statement is false. The client should not limit all fruits and vegetables, as they are important sources of vitamins, minerals, and fiber. However, the client should be consistent with their intake of foods that contain vitamin K, such as leafy greens, broccoli, and cabbage, as vitamin K can counteract the effects of warfarin and reduce its efficacy.

Choice C reason: This statement is true. The client should report coffee ground or bloody emesis, as they may indicate upper gastrointestinal bleeding, which is another serious complication of warfarin therapy. Coffee ground emesis is vomit that looks like coffee grounds, caused by the presence of digested blood.

Choice D reason: This statement is true. The client should use a soft-bristled toothbrush, as it can prevent gum bleeding, which is a minor side effect of warfarin therapy. The client should also avoid dental flossing or using toothpicks that may injure the gums.

Choice E reason: This statement is true. The client should shave with an electric razor instead of a razor blade, as it can prevent skin cuts or nicks, which may bleed excessively due to warfarin therapy. The client should also avoid activities that may cause bruises or injuries, such as contact sports or gardening.

Choice A reason: This statement is true. The nurse should include tremors as a sign of hypoglycemia, which is a condition where the blood glucose level is too low. Tremors are involuntary shaking or trembling of the body, caused by the release of adrenaline in response to low blood glucose.

Choice B reason: This statement is true. The nurse should include diaphoresis as a sign of hypoglycemia, which is excessive sweating, caused by the activation of the sympathetic nervous system in response to low blood glucose.

Choice C reason: This statement is true. The nurse should include confusion as a sign of hypoglycemia, which is impaired mental function, caused by the lack of glucose supply to the brain.

Choice D reason: This statement is false. The nurse should not include polyuria as a sign of hypoglycemia, which is increased urination, caused by the excess glucose in the urine. Polyuria is more common with hyperglycemia, which is a condition where the blood glucose level is too high.

Choice E reason: This statement is false. The nurse should not include polydipsia as a sign of hypoglycemia, which is increased thirst, caused by the dehydration from polyuria. Polydipsia is also more common with hyperglycemia, which is a condition where the blood glucose level is too high.