A nurse is caring for a client who has hypoglycemia. The nurse should monitor the client for which of the following adverse effects of hypoglycemia?

A. Polyuria is a manifestation of hyperglycemia, not hypoglycemia, and is more commonly associated with diabetes mellitus. B. Hypoglycemia can trigger a sympathetic nervous system response, which may initially increase heart rate and blood pressure. However, severe or prolonged hypoglycemia can lead to vasodilation and hypotension, making decreased blood pressure a potential adverse effect to monitor. C. Fever is not a typical manifestation of hypoglycemia; it is usually related to infection or other inflammatory processes. D. Metabolic acidosis is more often associated with diabetic ketoacidosis (hyperglycemia), not hypoglycemia. Monitoring for cardiovascular and neurological changes is more relevant in hypoglycemic clients.