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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 C

Explanation

Choice A rationale

Increasing fluid intake is not appropriate as it does not address the issue of vomiting and can lead to fluid overload.

Choice B rationale

Giving an antiemetic is not recommended without consulting a healthcare provider as it may interact with digoxin.

Choice C rationale

Administering the next dose as prescribed is the correct action. If a dose is vomited, it should not be repeated, and the next dose should be given at the regular time.

Choice D rationale

Mixing the medication with 8 oz of formula is not recommended as it can affect the absorption and effectiveness of the medication.

Correct Answer is B

Explanation

Choice A rationale

Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority. Applying pressure just above the insertion site is the first step to control bleeding and prevent further blood loss.

Choice B rationale

Applying pressure just above the insertion site is the first step to control bleeding and prevent further blood loss. This action helps to stop the bleeding and stabilize the patient.

Choice C rationale

Obtaining vital signs is important, but it can wait momentarily until the bleeding is under control. The immediate priority is to stop the bleeding.

Choice D rationale

Monitoring the pulse distal to the insertion site is important, but controlling bleeding takes precedence. Once the bleeding is controlled, the nurse can then monitor the pulse

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