During a health history, a client is being evaluated for possible type 2 diabetes mellitus. Which of the following client statements indicates the need for further follow-up?
1. “I have some shortness of breath when I exercise.”
2. “No matter how much I drink, I’m still thirsty all the time.”
3. “I wake up early in the morning and can’t return to sleep.”
4. “In the past couple of weeks, I’ve been having a lot of trouble urinating.”
Polydipsia, or increased thirst, is a classic clinical manifestation of diabetes. The excessive loss of fluids is the result of the osmotic diuresis that occurs with glycosuria. It is unlikely that shortness of breath, early awakening, or trouble urinating are related to diabetes mellitus.
CN: Physiological adaptation; CL: Analyze