A school nurse is assessing a child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Polyuria
Fruity breath
Diaphoresis
Polyphagia
The Correct Answer is C
A. Polyuria: Polyuria results from hyperglycemia, where excess glucose in the bloodstream leads to osmotic diuresis. This causes the kidneys to excrete more water, increasing urination frequency. It is not a feature of hypoglycemia.
B. Fruity breath: Fruity-scented breath is due to ketone buildup in diabetic ketoacidosis, a complication of prolonged hyperglycemia. It signals metabolic acidosis rather than low blood sugar levels.
C. Diaphoresis: Diaphoresis occurs during hypoglycemia as the body releases epinephrine in response to falling glucose. This triggers sweating, tremors, and palpitations as part of the autonomic response.
D. Polyphagia: Polyphagia is a symptom of hyperglycemia, where cells are starved of glucose despite its presence in the blood. This leads to increased hunger, not typically seen in acute hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encourage frequent eye contact with the newborn during feedings: While eye contact supports bonding, it can overstimulate infants with neonatal abstinence syndrome. These newborns often struggle with processing sensory input, and sustained eye contact may lead to increased irritability or stress.
B. Provide frequent stimulation for the newborn: Excessive stimulation, such as noise or handling, can aggravate symptoms like tremors, crying, and poor feeding. These infants benefit more from a quiet, low-stimulation environment that helps them regulate their nervous system.
C. Wrap the newborn loosely in a blanket: Loose wrapping fails to provide the gentle pressure needed to soothe the infant. A snug swaddle helps reduce excessive movement and startle reflex, making the newborn feel secure and calm.
D. Decrease the lighting levels in the nursery: Lowering lights creates a more calming environment and reduces sensory overload. This helps lessen irritability, promotes sleep, and is a standard comfort measure for neonates with withdrawal symptoms.
Correct Answer is D
Explanation
A. Sacrum: The sacrum is typically assessed for pressure injuries but is not the most reliable site for detecting cyanosis in clients with dark skin because of variable pigmentation.
B. Shoulders: The shoulders have significant pigmentation and are not ideal for assessing cyanosis in dark-skinned clients due to difficulty distinguishing color changes.
C. Area of trauma: Trauma sites may show redness or bruising unrelated to cyanosis, making them unreliable for assessing oxygenation status.
D. Palms of the hands: The palms have less melanin and are lighter in color, making them a better site to observe for cyanosis in clients with dark skin due to clearer visualization of bluish discoloration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.