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?
Sweating
Tremors
Pallor
Thirst
The Correct Answer is D
Rationale:
A. Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors are more commonly associated with hypoglycemia.
C. Pallor is not typically associated with hyperglycemia.
D. Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately.
B. This temperature is within the normal range, so it does not require reporting.
C. This blood pressure is within the normal range for an adolescent, so it does not require reporting.
D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.
Correct Answer is D
Explanation
Rationale:
A. Balance when standing with eyes closed is primarily related to the vestibulocochlear nerve (cranial nerve VIII), not the trigeminal nerve.
B. The gag reflex is primarily mediated by the glossopharyngeal nerve (cranial nerve IX), not the trigeminal nerve.
C. Identifying specific scents is related to olfaction, which is primarily mediated by the olfactory nerve (cranial nerve I), not the trigeminal nerve.
D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve.
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