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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View Related questions
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.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Antistreptolysin O (ASO) titer is a blood test used to detect antibodies against streptolysin O, a substance produced by group A Streptococcus bacteria. Elevated ASO titers indicate a recent streptococcal infection, which is a common precursor to rheumatic fever.
Choice B rationale
Partial thromboplastin time (PTT) measures the time it takes for blood to clot and is used to evaluate bleeding disorders. It is not relevant for diagnosing rheumatic fever, which is an inflammatory disease.
Choice C rationale
Blood urea nitrogen (BUN) measures kidney function and is not used to diagnose rheumatic fever. Rheumatic fever is diagnosed based on evidence of a preceding streptococcal infection and clinical criteria.
Choice D rationale
Erythrocyte sedimentation rate (ESR) is a blood test that measures inflammation in the body. Elevated ESR levels are one of the minor criteria for diagnosing rheumatic fever, indicating the presence of inflammation.
Choice E rationale
C-reactive protein (CRP) is another marker of inflammation. Elevated CRP levels are also one of the minor criteria for diagnosing rheumatic fever, reflecting the inflammatory response in the body.