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A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

 

A.

Increased capillary refill.

B.

Decreased appetite.

C.

Thirst.

D.

Shakiness.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation but is not a common sign of low blood sugar levels.

 

Choice B rationale

 

Decreased appetite is not typically associated with hypoglycemia. Hypoglycemia usually causes symptoms such as shakiness, sweating, and confusion.

 

Choice C rationale

 

Thirst is not typically associated with hypoglycemia. It is more commonly a symptom of hyperglycemia (high blood sugar levels).

 

Choice D rationale

 

Shakiness or tremors are common signs of hypoglycemia. When blood sugar levels drop, the body responds by releasing adrenaline, which can cause shakiness.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Odorless urine is not a specific indicator of effective treatment for acute poststreptococcal glomerulonephritis (APSGN)16.

Choice B rationale

A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate effective treatment for APSGN16.

Choice C rationale

No report of pain with voiding is not a specific indicator of effective treatment for APSGN16.

Choice D rationale

Clear urine indicates that the hematuria (blood in urine) has resolved, which is a sign of effective treatment for APSGN1617.

Correct Answer is C

Explanation

Choice A rationale

Checking the newborn’s eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. The primary concern during phototherapy is monitoring the newborn’s temperature and hydration status.

Choice B rationale

Placing mittens on the newborn’s hands is unrelated to the management of hyperbilirubinemia or phototherapy. Mittens are typically used to prevent the newborn from scratching themselves.

Choice C rationale

Monitoring the newborn’s temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. This helps ensure the newborn maintains a stable body temperature.

Choice D rationale

Applying lotion to the newborn’s skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights. The lotion can act as a barrier, reducing the amount of light that reaches the skin.

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