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?
Increased capillary refill.
Decreased appetite.
Thirst.
Shakiness.
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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Correct Answer is C
Explanation
Choice A rationale
This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, kbut not necessarily 3 to 6 inches off the ground. Proper seat height is crucial for balance and control.
Choice B rationale
Riding against the flow of traffic is dangerous and increases the risk of accidents. Bicyclists should always ride with the flow of traffic to be more predictable to drivers.
Choice C rationale
Walking the bicycle through intersections is a key safety measure to prevent accidents. It ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice D rationale
Keeping the bicycle at least 3 feet from the curb is not a standard safety recommendation. Instead, children should ride as close to the curb as safely possible, following the flow of traffic.
Correct Answer is C
Explanation
Choice A rationale
Vomiting can occur in infants with necrotizing enterocolitis, but it is not the most specific finding.
Choice B rationale
Hypertension is not typically associated with necrotizing enterocolitis.
Choice C rationale
A rounded abdomen is a common finding in infants with necrotizing enterocolitis due to intestinal swelling and gas accumulation.
Choice D rationale
Tachypnea can occur, but it is not as specific as a rounded abdomen.