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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 A

Explanation

Choice A rationale

The first voided specimen is discarded to ensure that the 24-hour urine collection starts with an empty bladder and accurately reflects the urine produced over the entire period.

Choice B rationale

Voiding every hour is not necessary and may not be practical for a 24-hour urine collection.

Choice C rationale

The final specimen should be included in the same container as the rest of the 24-hour urine collection.

Choice D rationale

Cleansing the perineum with a povidone-iodine solution is not required for a 24-hour urine collection.

Correct Answer is A

Explanation

Choice A rationale

A dietitian should be consulted for a newly admitted child to assess and plan for the child’s nutritional needs, especially if the child has specific dietary requirements or is at risk for malnutrition.

Choice B rationale

An occupational therapist may be involved later in the child’s care, but they are not typically the first referral for a newly admitted child.

Choice C rationale

A physical therapist may be involved later in the child’s care, but they are not typically the first referral for a newly admitted child.

Choice D rationale

A speech-language pathologist may be involved later in the child’s care, but they are not typically the first referral for a newly admitted child.

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