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A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

Thyroid storm

Vitamin D toxicity

Cushing syndrome

Syndrome of inappropriate antidiuretic hormone (SIADH)

Answer and Explanation

The Correct Answer is D

A. Thyroid storm is related to hyperthyroidism and is not directly associated with vasopressin treatment.

B. Vitamin D toxicity is unrelated to vasopressin and is not a concern in this scenario.

C. Cushing syndrome is caused by excess cortisol and is not related to vasopressin therapy.

D. SIADH is characterized by excessive release of antidiuretic hormone, which can lead to water retention and hyponatremia. Since vasopressin is an antidiuretic hormone analog, it can cause similar effects if not carefully monitored.

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Correct Answer is D

Explanation

A. Dry mouth is expected postoperatively, especially if the child is not drinking adequate fluids, but it is not a sign of a complication.

B. Mild to moderate pain is expected after a tonsillectomy and should be managed with analgesics.

C. Dried flecks of blood in oral secretions can be normal immediately after surgery, but active bleeding would be concerning.

D. Frequent swallowing is a sign of possible postoperative bleeding, which is a serious complication that requires immediate evaluation and intervention.

A. Upper gastrointestinal series to determine structural abnormalities from gastroesophageal reflux B. Biopsy of small intestine mucosa to rule out celiac disease C. Ultrasound to assess for presence of pyloric stenosis D. Lower gastrointestinal series to assess for an intestinal blockage

Correct Answer is A

Explanation

A. An upper gastrointestinal series is commonly used to diagnose gastroesophageal reflux (GER), which can cause symptoms like spitting up and crying after feedings, leading to failure to thrive. This test helps visualize the esophagus, stomach, and duodenum for abnormalities.

B. A biopsy of the small intestine is typically done to diagnose celiac disease, which is less likely in this clinical scenario.

C. An ultrasound is used to diagnose pyloric stenosis, which presents with projectile vomiting and is less consistent with the described symptoms.

D. A lower gastrointestinal series is used to detect intestinal blockages, which are not suggested by the symptoms of spitting up and crying immediately after feeding.

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A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?

Correct Answer is D

Explanation

A pediatric client is admitted to the unit with failure to thrive. The mother states that the child has been "spitting up" and excessively crying immediately after every bottle. What diagnostic test will the nurse anticipate to confirm a diagnosis?

Correct Answer is A

Explanation

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