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 A
Explanation
Choice A rationale
The primary purpose of obtaining consent is to ensure that the patient understands the risks, benefits, and alternatives of the proposed treatment. This process respects patient autonomy and allows them to make informed decisions about their care.
Choice B rationale
While family input can be important, obtaining consent is primarily about ensuring the patient themselves understands and agrees to the treatment. It is not about obtaining permission from the family.
Choice C rationale
Protecting the nurse from legal liability is not the main purpose of obtaining consent. The focus is on patient understanding and autonomy.
Choice D rationale
Consent is about involving the patient in their care decisions, not bypassing their input. It ensures that the patient is fully informed and agrees to the treatment plan.
Correct Answer is D
Explanation
Choice A rationale
Rinsing the child’s mouth with chlorhexidine mouthwash if they develop stomatitis is not recommended. Chlorhexidine can be harsh and may cause further irritation in a child with stomatitis.
Choice B rationale
Ensuring the administration of an antiemetic for 12 hours after chemotherapy is not sufficient. Antiemetics should be given before, during, and after chemotherapy to effectively manage nausea and vomiting.
Choice C rationale
Encouraging eating by providing the child with their favorite foods is not always appropriate. Some foods may exacerbate nausea or be contraindicated during chemotherapy.
Choice D rationale
Using a soft-bristled toothbrush when platelet levels are low is correct. This helps prevent gum bleeding and injury, which is important for children with low platelet counts due to chemotherapy.