A nurse is performing an admission assessment on an older patient who presented with a high fever and cough, reduced oral intake for 3 days, and lower extremity weakness. The patient has sunken eyes, and the patient’s skin turgor over the sternum is poor. The nurse suspects that the patient is dehydrated. Which of the following are indicators of dehydration in this patient? (Select all that apply.)

Choice A reason: Diaphoresis is a common symptom of hypoglycemia, as the body tries to increase blood flow and release adrenaline to raise blood sugar levels. The client may notice sweating on the face, palms, or underarms.

Choice B reason: Anxiety is a common symptom of hypoglycemia, as the low blood sugar affects the brain and nervous system. The client may feel nervous, restless, or fearful.

Choice C reason: Tachycardia is not a reliable symptom of hypoglycemia for this client, as he is taking metoprolol, a beta-blocker that lowers the heart rate. Metoprolol can mask the signs of hypoglycemia, such as palpitations, tremors, and increased heart rate.

Choice D reason: Impaired vision is not a reliable symptom of hypoglycemia for this client, as he is an older adult who may have other eye problems, such as cataracts, glaucoma, or macular degeneration. Impaired vision can also be caused by other factors, such as fatigue, stress, or medication side effects.

Choice E reason: Confusion is a common symptom of hypoglycemia, as the low blood sugar affects the brain and cognitive function. The client may have difficulty thinking clearly, remembering things, or making decisions.

Choice F reason: Dizziness is a common symptom of hypoglycemia, as the low blood sugar affects the balance and coordination. The client may feel lightheaded, faint, or unsteady.

Choice A reason: This statement is false, as type 2 diabetes is not the result of the failure of the pancreas to produce insulin, but rather the result of the reduced sensitivity of the cells to insulin, which leads to high blood sugar levels. The pancreas may still produce some insulin, but not enough to meet the body's needs.

Choice B reason: This statement is false, as the incidence of diabetes mellitus does increase with age, due to various factors, such as decreased physical activity, increased weight, reduced muscle mass, or impaired insulin secretion or action.

Choice C reason: This statement is true, as diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dL, according to the American Diabetes Association. Fasting plasma glucose is the blood sugar level measured after at least eight hours of fasting.

Choice D reason: This statement is false, as non-insulin-dependent diabetes mellitus is another name for type 2 diabetes, not type 1 diabetes. Type 1 diabetes is also known as insulin-dependent diabetes mellitus, as it requires insulin injections or pumps to control the blood sugar levels.