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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

Holding the child during assessments may cause distress and is not recommended for children with autism spectrum disorder.

Choice B rationale

Establishing a reward system is an effective intervention for children with autism spectrum disorder as it reinforces positive behaviors.

Choice C rationale

Maintaining extended eye contact can be uncomfortable for children with autism and is not recommended.

Choice D rationale

Engaging in cooperative play may be challenging for children with autism, and structured activities are often more beneficial.

Correct Answer is D

Explanation

Choice A rationale

An adolescent with a urinary tract infection (UTI) is not at high risk for insufficient vascular perfusion. UTIs primarily affect the urinary system and do not typically impact vascular perfusion.

Choice B rationale

A toddler receiving intravenous fluids is not at high risk for insufficient vascular perfusion. IV fluids help maintain hydration and vascular volume, supporting adequate perfusion.

Choice C rationale

A preschooler with otitis media (ear infection) is not at high risk for insufficient vascular perfusion. Otitis media affects the middle ear and does not typically impact vascular perfusion.

Choice D rationale

A school-age child in a spica cast is at high risk for insufficient vascular perfusion. The cast can restrict blood flow, leading to complications such as compartment syndrome, which requires immediate medical attention.

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