A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis?

Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.

Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.

Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.

Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.

Choice A reason: A high-pitched cry can be a sign of distress in an infant, but it is not a specific indicator of increased intracranial pressure. It could be due to a variety of reasons, including discomfort, hunger, or other forms of distress.
Choice B reason: Decreased lower extremity movement could be a sign of a neurological issue, but it is not a direct indicator of increased intracranial pressure. It would require further evaluation to determine the cause.
Choice C reason: Excessive wet diapers are not typically associated with increased intracranial pressure. This symptom could be related to other conditions such as diabetes insipidus or excessive fluid intake.
Choice D reason: This is the correct choice. A bulging fontanel when crying is a classic sign of increased intracranial pressure in an infant. The fontanel, or soft spot on the baby's head, can bulge when there is increased pressure within the skull. This should be promptly evaluated by a healthcare professional.