A nurse is reviewing the laboratory results of a preschool-age child who has iron deficiency anemia. Which of the following actions should the nurse take?

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.

Choice A rationale: Administering prescribed pain medication is important to manage the client’s severe abdominal pain. However, given the client’s symptoms, including severe pain, vomiting, jaundice, and signs of peritonitis (guarding and rebound tenderness), it is crucial to notify the healthcare provider immediately to assess the need for urgent diagnostic and therapeutic interventions.

Choice B rationale: Preparing the client for an abdominal ultrasound is a necessary step to identify the underlying cause of the abdominal pain, such as gallstones, cholecystitis, or other abdominal pathology. However, before proceeding with diagnostic tests, it is essential to notify the healthcare provider to ensure that the client’s condition is stabilized and to obtain any necessary orders.

Choice C rationale: Inserting a nasogastric tube for decompression can help relieve symptoms of abdominal distension and vomiting. However, this intervention should be performed after consulting with the healthcare provider to ensure it is appropriate for the client’s condition and to obtain the necessary orders.

Choice D rationale: Notifying the healthcare provider immediately is the first priority in this scenario. The client’s symptoms, including severe abdominal pain, vomiting, jaundice, and signs of peritonitis, indicate a potentially serious condition that requires prompt medical evaluation and intervention. The healthcare provider needs to be informed to assess the client’s condition, order appropriate diagnostic tests, and initiate necessary treatments.