Which of the following physical symptoms may be associated with insulin adjustment?

Fluctuating blood glucose levels are indeed closely associated with insulin adjustment. When a patient's insulin dosage is changed—either increased or decreased—it can lead to variations in blood glucose levels. These fluctuations occur as the body adjusts to the new dosage, affecting how glucose is absorbed and utilized by the cells. If insulin levels are not properly calibrated to the patient’s needs, this can result in hyperglycemia (high blood sugar) or hypoglycemia (low blood sugar), both of which can manifest through a range of symptoms impacting physical and mental functioning.

Other options, while they may seem plausible at first glance, do not directly relate to the adjustments in insulin levels. Improved endurance, enhanced skin hydration, and decreased muscle tension are not immediately recognized as direct results of insulin alterations. Instead, these may depend on a variety of factors including overall health, exercise, hydration status, or other hormonal influences, rather than being directly correlated to insulin dosage adjustments. Understanding these associations is crucial for a Qualified Medication Assistant to monitor and manage the effects of insulin therapy effectively.