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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Correct Answer is D
Explanation
Choice A rationale
A Power of Attorney (POA) cannot be revoked by a healthcare provider. It can only be revoked by the person who granted it or by a court under certain circumstances.
Choice B rationale
A POA does not need to be appointed by a court. It is a legal document that an individual can create to grant authority to another person to make decisions on their behalf. A Healthcare Proxy specifically grants authority over medical decisions.
Choice C rationale
A POA is not only applicable to minors. It can be used by adults to grant authority over financial matters, while a Healthcare Proxy grants authority over medical decisions.
Choice D rationale
A POA grants authority over financial matters, allowing the appointed person to manage finances, pay bills, and make financial decisions. A Healthcare Proxy grants authority over medical decisions, allowing the appointed person to make healthcare decisions if the individual is incapacitated.
Correct Answer is C
Explanation
Choice A rationale
Offering a prize for not crying can create undue pressure and anxiety for the child.
Choice B rationale
Telling the child the medicine will fix them can be misleading and does not provide accurate information about the procedure.
Choice C rationale
Allowing the child to choose which leg to receive the injection in gives them a sense of control and can reduce anxiety.
Choice D rationale
Telling the child they will only feel a little stick can be misleading and may not adequately prepare them for the discomfort.