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?

A. Shakiness is a common symptom of hypoglycemia. When blood glucose levels drop, the body may react with symptoms like trembling or shaking. This is because low blood sugar levels can trigger the release of adrenaline, leading to physical symptoms such as shakiness. B. While decreased appetite can occur in various conditions, it is not a primary or specific manifestation of hypoglycemia. Typically, hypoglycemia causes symptoms related to the body’s response to low glucose levels, such as shakiness, sweating, or confusion, rather than a decrease in appetite. C. Thirst is more commonly associated with hyperglycemia (high blood glucose levels), not hypoglycemia. When blood glucose levels are high, the body tries to get rid of the excess sugar through increased urination, leading to dehydration and increased thirst. This is not a typical sign of low blood sugar. D. Increased capillary refill time is generally a sign of poor perfusion or dehydration and is not specific to hypoglycemia. In hypoglycemia, the capillary refill time is usually normal, though other signs such as shakiness, sweating, or irritability are more indicative of low blood sugar levels.