A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

Increased capillary refill

Shakiness

Thirst

Decreased appetite

Answer and Explanation

The Correct Answer is B

A.   Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation.
B.   Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar levels.
C.   Thirst is not typically associated with hypoglycemia. It may be a symptom of hyperglycemia, where blood sugar levels are high.
D.   While decreased appetite can occur with hypoglycemia, it is not as specific a symptom as shakiness. It can also occur due to various other reasons.

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Correct Answer is A

Explanation

A. This is the first step to control bleeding and prevent further blood loss.
B. Monitoring the distal pulse is important, but controlling bleeding takes precedence.
C. Vital signs can wait momentarily until the bleeding is under control.
D. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.

A. Offer sips of water 4 hr following surgery. B. Assist the adolescent to ambulate 12 hr following surgery. C. Maintain the head of the bed at a 30° angle. D. Ensure two nurses logroll the adolescent every 2 hr.

Correct Answer is D

Explanation

A. Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting.
B. Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition.
C. Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications.
D. Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment

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A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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