Which of the following is a true statement about heart disease in Kenya?

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 is incorrect because any exertion on the part of an older adult with heart disease does not necessarily result in death. Exertion can increase the oxygen demand of the heart and cause angina, or chest pain, but it can also be beneficial for the cardiovascular health and fitness of the older adult, if done within the limits of their tolerance and under medical supervision.

Choice B reason: This is incorrect because myocardial infarction is not the same as heart attack, cardiac arrest, or coronary thrombosis, although they are related terms. Myocardial infarction is the medical term for the death of a part of the heart muscle due to lack of blood supply. Heart attack is the common term for myocardial infarction. Cardiac arrest is the sudden loss of heart function, which can be caused by myocardial infarction or other factors. Coronary thrombosis is the formation of a blood clot in a coronary artery, which can lead to myocardial infarction.

Choice C reason: This is correct because both excessive undernutrition and overnutrition can contribute to heart disease. Undernutrition can cause malnutrition, anemia, and low immunity, which can increase the risk of infections and inflammation that can damage the heart. Overnutrition can cause obesity, diabetes, and high cholesterol, which can increase the risk of atherosclerosis and hypertension that can impair the blood flow to the heart.

Choice D reason: This is incorrect because a person with diabetes should have their blood pressure checked regularly, but this is not a statement about heart disease in Kenya. Diabetes is a risk factor for heart disease, as it can damage the blood vessels and nerves that control the heart. However, this statement is applicable to any person with diabetes, regardless of their location.