An occupational therapy (OT) practitioner is working with a client who has been admitted to the hospital because of complications resulting from chronic obstructive pulmonary disease and insu-lin-dependent diabetes mellitus

While working on grooming and hygiene while standing at the sink, the client suddenly begins to get agitated, her skin becomes pale and appears moist, her breathing becomes shallow, and she begins to lose consciousness. Given the client's medical history, she is most likely experiencing which of the following?
A. Respiratory distress
B. Ketoacidosis
C. Insulin reaction

ANS: C
It is important for the OT practitioner to be able to differentiate between the conditions of hypo-glycemia (insulin reaction) and hyperglycemia (ketoacidosis), which can lead to diabetic coma, as shown in Table 9-1 (Warning Signs and Symptoms of Insulin-Related Illnesses).