The nurse is teaching a client about foot care for diabetes management. Which statement by the client indicates a need for further clarification?

Excessive thirst and frequent urination are classic symptoms of hyperglycemia in diabetes mellitus. These symptoms result from the body's attempt to eliminate excess glucose through urine.

Incorrect choices:

b. This choice is incorrect. Bradycardia and low blood pressure are not classic symptoms of hyperglycemia; they may be associated with other conditions.

c. This choice is incorrect. Weight gain and increased appetite are not typical symptoms of hyperglycemia; they may be observed in certain situations, but they are not characteristic of uncontrolled diabetes.

d. This choice is incorrect. Hypoglycemic episodes with confusion are symptoms of low blood sugar, not hyperglycemia.

Long-standing hyperglycemia in diabetes mellitus can lead to impaired wound healing, as high blood sugar levels affect blood flow and immune function, increasing the risk of infections.

Incorrect choices:

a. This choice is incorrect. Polyuria, polydipsia, and polyphagia are the "three P's" associated with diabetes-related hyperglycemia.

b. This choice is incorrect. Nausea, vomiting, and abdominal pain are not typically related to long-standing hyperglycemia in diabetes.

c. This choice is incorrect. Blurred vision and vision loss are manifestations of diabetic retinopathy, a microvascular complication, rather than impaired wound healing.