A nurse is caring for a client who has hypoglycemia.
The nurse should monitor the client for which of the following adverse effects of hypoglycemia?
Fever.
Shakiness.
Increased urination.
Thirst.
The Correct Answer is B
Choice A rationale:
Fever. Fever is not an adverse effect of hypoglycemia. Fever is usually associated with an elevated body temperature, often due to infection or other inflammatory conditions, and is not directly related to low blood sugar levels.
Choice B rationale:
Shakiness. Shakiness is a common symptom of hypoglycemia. When blood sugar levels drop too low, the body responds with symptoms like trembling or shakiness, which is caused by the release of stress hormones like epinephrine. These symptoms are the body's way of signaling the need for immediate glucose intake to raise blood sugar levels.
Choice C rationale:
Increased urination. Increased urination is not a typical symptom of hypoglycemia. In fact, frequent urination may be associated with hyperglycemia (high blood sugar levels) in conditions like diabetes mellitus.
Choice D rationale:
Thirst. Thirst is not a direct symptom of hypoglycemia. Thirst is more commonly associated with hyperglycemia, where high blood sugar levels lead to increased urine output, causing dehydration and subsequent thirst. In hypoglycemia, the focus is on correcting the low blood sugar levels rather than managing thirst.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Provide homeschooling for your child" is not relevant information for the guardians of a child with cystic fibrosis. The primary focus should be on managing the child's medical condition and providing appropriate care rather than discussing education settings.
Choice B rationale:
"Do not include your child when making decisions about treatment" is not appropriate advice. Involving the child in age-appropriate discussions about their treatment and healthcare decisions can empower them and promote their understanding and cooperation with the treatment plan. It is essential to engage children in their care to the extent possible, with guidance from healthcare providers.
Choice C rationale:
"Have your child wear a medical identification wristband" is the correct choice. Children with cystic fibrosis may have specific medical needs or allergies that emergency responders need to be aware of in case of emergencies. A medical identification wristband can provide crucial information about the child's condition and help ensure that they receive appropriate care in emergencies.
Choice D rationale:
"Ensure that your child does not receive the influenza vaccine annually" is not the recommended advice. Children with cystic fibrosis are at higher risk of respiratory infections, and the annual influenza vaccine is generally recommended to help prevent such infections. However, specific medical recommendations may vary, so it's essential for the guardians to follow the guidance of their child's healthcare provider regarding vaccinations.
Correct Answer is B
Explanation
Choice A rationale:
Placing a padded tongue blade in the child's mouth is not recommended during a tonic-clonic seizure. This action can cause injury to the child's mouth or teeth and does not help manage the seizure itself.
Choice C rationale:
Turning the child onto their back is generally the correct action to take during a seizure to ensure an open airway. However, this should be done gently and after ensuring the child's safety. Placing a pillow under the head is also important to prevent head injury during the seizure.
Choice D rationale:
Restraining the child's upper extremities is not recommended during a tonic-clonic seizure. It can lead to injury for both the child and the healthcare provider and is not an effective way to manage the seizure. The priority is to ensure the child's safety and protect them from harm.
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