2024 PN NCLEX Questions Nursing Practice Question
The LPN participates in a home visit for a client with Type 2 Diabetes who has been taking Metformin for 3 years. The client states that for the past 3 months, they have been trying a vegan diet and experiencing fatigue, confusion, and mood changes. What is a likely cause of the new symptoms?
Correct Answer: A
Rationale: A vegan diet can lead to vitamin B12 deficiency, as this vitamin is primarily found in animal products. Symptoms like fatigue, confusion, and mood changes align with B12 deficiency, making it a likely cause of the client's new symptoms.
Chronic hypoglycemia (B) is less likely since the client has been stable on Metformin for years without reported hypoglycemic events. Vitamin D deficiency (C) does not typically cause the specific neurological symptoms described and is less common in this context. Increased tolerance to Metformin (D) would not directly explain these symptoms, as it generally results in reduced effectiveness rather than acute neurological changes.