A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

The nurse should recognize that the client needs a referral for diabetic education when the client lists sweating, shaking, and palpitations as symptoms of hyperglycemia. These symptoms are actually associated with hypoglycemia, not hyperglycemia. Hyperglycemia is characterized by symptoms such as increased thirst, frequent urination, and fatigue. Option a is incorrect because drawing up regular insulin before NPH when demonstrating injection technique is the correct procedure. Option b is incorrect because seeing a primary care provider to treat corns on the feet is an appropriate action for a client with diabetes. Option c is incorrect because treating hypoglycemic reactions with 15 g of carbohydrates is the recommended treatment.