A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Tremors
Pallor
Thirst
Sweating
The Correct Answer is C
A. Tremors: Tremors can be a sign of hypoglycaemia (low blood sugar), not typically hyperglycaemia.
B. Pallor: Pallor can be a general sign of illness and may not be specific to hyperglycaemia.
C. Thirst: Hyperglycaemia (high blood sugar) causes the body to lose fluids through urine excretion. This can lead to dehydration and thirst as the body tries to compensate by pulling fluid from cells
D. Sweating: Sweating can occur with both hyperglycaemia and hypoglycaemia, so it's not a specific indicator.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Check the pH of the gastric secretions. Correct. Checking the pH of gastric secretions helps confirm proper placement of the NG tube in the stomach, ensuring safe administration of the feeding.
B. Attach the feeding bag tubing to the end of the NG tube. This should not be done first because the correct placement of the NG tube must be verified before attaching the feeding bag to prevent aspiration or incorrect administration.
C. Flush the tube with water. Flushing the tube is important to ensure patency, but it should be done after confirming the placement of the NG tube.
D. Set the administration rate on the feeding pump. Setting the administration rate is important, but it should be done after verifying the NG tube placement and ensuring the tube is patent.
Correct Answer is A
Explanation
A. Maculopapular skin burrows on the hand. Correct. Scabies is characterized by burrows in the skin, often seen as small, wavy, thread-like lesions, commonly found on the hands, between fingers, and on wrists.
B. Scaly lesions on the inner thighs. Incorrect. While scaly lesions can be present in various skin conditions, they are not typical of scabies.
C. Bull's eye edematous area on the groin. Incorrect. This description is more characteristic of Lyme disease, not scabies.
D. Rash with red macular lesions on the scalp. Incorrect. Scabies does not typically affect the scalp, especially in older children and adults.
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