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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 B

Explanation

Choice A rationale

Lengthening the harness straps weekly is not recommended. The Pavlik harness is designed to maintain the hip joint in a stable position to promote proper development. Adjusting the straps without professional guidance can compromise the effectiveness of the treatment and potentially harm the infant.

Choice B rationale

Positioning the diaper over the straps with each change is correct. This ensures that the harness remains in the correct position and prevents soiling of the harness, which can lead to skin irritation and infection.

Choice C rationale

Massaging the skin under the straps daily is not advised. The harness should remain in place to maintain the correct hip position. Removing the harness for skin massage can disrupt the treatment.

Choice D rationale

Applying lotion to the skin beneath the straps twice daily is not recommended. Lotions can cause the skin to become too moist, leading to skin breakdown and irritation. The harness should remain dry to prevent skin issues.

Correct Answer is C

Explanation

Choice A rationale

The inactivated polio virus (IPV) vaccine is typically administered at 2 months, 4 months, and 6-18 months of age, not at 12 months.

Choice B rationale

The hepatitis B vaccine is given at birth, 1-2 months, and 6-18 months of age.

Choice C rationale

The varicella (chickenpox) vaccine is recommended to be given at 12-15 months of age for the first dose.

Choice D rationale

The human papillomavirus (HPV) vaccine is recommended for preteens aged 11-12 years, not for infants.

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