A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?

Bradycardia

Flushed skin

Decreased appetite

Tremors

Answer and Explanation

The Correct Answer is D

A. Bradycardia:
Low blood sugar levels can lead to bradycardia, a slower than normal heart rate.

B. Flushed skin:
Typically, low blood sugar levels might cause pallor or cool, clammy skin, rather than flushing.x

C. Decreased appetite:
Low blood sugar might result in increased hunger or a feeling of needing to eat rather than decreased appetite.

D. Tremors:
Hypoglycemia often presents with symptoms like tremors or shakiness due to the body's response to low blood sugar.

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Correct Answer is C

Explanation

A. Apply Neosporin to avoid infection:
This choice suggests applying Neosporin to the surgical site. However, the immediate postoperative care for cleft lip surgery often involves keeping the incision site covered with sterile dressings. Topical antibiotics may be prescribed by the healthcare provider if deemed necessary, but it's not a routine application without specific instructions.

B. Apply elbow immobilizers when not being held:
This choice implies using elbow immobilizers for the child. However, elbow immobilizers are not a standard intervention for cleft lip surgery. The focus is usually on keeping the surgical site clean and preventing complications like infection.

C. Suction secretions away from the suture line:
This is the recommended choice. Suctioning helps maintain a clear airway and prevents secretions from affecting the surgical site. It's a crucial step in the immediate postoperative period.

D. Feed increased amounts of formula to prevent weight loss:
While feeding is an essential aspect of care, especially for nutritional support, the immediate concern in the first few days after cleft lip surgery is often related to maintaining a patent airway and preventing infection. Feeding interventions might be guided by the healthcare provider's recommendations, but it's not the primary focus in the initial postoperative period.

A. Vitamin A B. Vitamin C C. Vitamin E D. Vitamin D

Correct Answer is B

Explanation

A. Vitamin A:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin A is a fat-soluble vitamin.

B. Vitamin C:
Solubility: Water-soluble.
Explanation: Vitamin C is water-soluble and plays a crucial role in collagen synthesis, immune function, and antioxidant activity.

C. Vitamin E:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin E is a fat-soluble vitamin with antioxidant properties.

D. Vitamin D:
Solubility: Fat-soluble, not water-soluble.
Explanation: Vitamin D is a fat-soluble vitamin that plays a key role in calcium absorption and bone health.

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A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the first few days after surgery for cleft lip, which intervention should the nurse implement?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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