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
The correct answer is Choice 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)9.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is C. “My child went to the bathroom two times when the alarm went off last night.”.
Choice A rationale
Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. The goal of enuresis treatment is to help the child develop better bladder control and responsiveness to the need to urinate.
Choice B rationale
Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis. While Kegel exercises can be beneficial for strengthening pelvic muscles, they are not typically the primary focus of conditioning therapy for enuresis.
Choice C rationale
Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. This statement suggests that the child is becoming more aware of the need to urinate and is responding appropriately to the alarm, which is a positive sign of treatment effectiveness.
Choice D rationale
Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. It is important for children to maintain adequate hydration, and reducing fluid intake is not a recommended strategy for managing enuresis.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
Commercially prepared formulas are designed to meet the nutritional needs of infants and are safe alternatives to breast milk or cow’s milk.
Choice B rationale
Soy milk is not recommended for infants under 1 year of age as it may not provide adequate nutrition.
Choice C rationale
Reinitiating breastfeeding may not be feasible if the mother has stopped breastfeeding for an extended period.
Choice D rationale
Warming goat’s milk does not address the nutritional inadequacies and potential health risks associated with feeding goat’s milk to infants.
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