A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?

A. BMI of 20:
A BMI of 20 is within the normal range. While extremes of BMI, either low or high, can contribute to health issues, a BMI of 20 alone may not significantly increase the risk of pressure injuries.

B. Peripheral neuropathy:
Peripheral neuropathy, which involves damage to the nerves in the extremities, can lead to decreased sensation and awareness. Clients with peripheral neuropathy may have difficulty sensing pressure, friction, or discomfort, making them more susceptible to pressure injuries.

C. Immobility:
Immobility is a significant risk factor for pressure injuries. Clients who are unable to change positions frequently are more likely to develop pressure points, particularly over bony prominences. Regular repositioning is essential to prevent pressure injuries in immobile individuals.

D. Hypoperfusion:
Hypoperfusion, or inadequate blood flow to tissues, can compromise tissue viability. Proper blood circulation is crucial for delivering oxygen and nutrients to the skin and underlying tissues. Impaired perfusion can contribute to tissue damage and increase the risk of pressure injuries.

E. Prealbumin level of 16 mg/dL:
Prealbumin is a marker of nutritional status. A low prealbumin level (16 mg/dL) indicates malnutrition, which can impair the body's ability to repair and maintain tissues, including the skin. Malnourished individuals are at an increased risk of developing pressure injuries.

A. "My appetite will be decreased."
Explanation: Hyperglycemia is often associated with increased appetite rather than decreased appetite.

B. "I might experience blurry vision at times."
Explanation: This is correct. Blurry vision can be a symptom of hyperglycemia due to changes in the fluid levels in the eye caused by high blood sugar.

C. "My breath may have a fruity odor."
Explanation: Fruity breath odor is associated with diabetic ketoacidosis (DKA), which is a severe complication of diabetes. It occurs due to the production of ketones during uncontrolled diabetes, leading to this distinct odor. While it's related to high blood sugar, it's more specifically linked to DKA.

D. "I will be more thirsty than usual."
Explanation: Increased thirst is a classic symptom of hyperglycemia. When blood sugar levels are high, the body tries to flush out the excess sugar through increased urination, leading to dehydration and subsequently increased thirst.