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?
Hypernatremia
Hyperglycemia
Hypoglycemia
Hypercalcemia
The Correct Answer is A
Choice A reason: This is the correct choice. Diabetes insipidus is characterized by the inability to concentrate urine, leading to excessive urination and a risk of dehydration and hypernatremia (high sodium levels).
Choice B reason: Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus.
Choice C reason: Hypoglycemia (low blood sugar) is not a typical finding in diabetes insipidus.
Choice D reason: Hypercalcemia (high calcium levels) is not directly related to diabetes insipidus.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Assessing pedal pulses is important, but it does not provide complete information about the circulatory status of the infant.
Choice B reason: This is the correct choice. Discrepancies in pulse strength between the upper and lower extremities may indicate a cardiovascular problem such as coarctation of the aorta, which can be further evaluated by comparing blood pressures in all four extremities.
Choice C reason: Lower extremity reflexes are not directly related to the strength of pulses.
Choice D reason: Hemoglobin and hematocrit values are important but would not be the next step in assessing the significance of the difference in pulse strength.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Administering oxygen helps increase the oxygen saturation during a 'tet' spell.
Choice B reason: The Trendelenburg position is not recommended for 'tet' spells as it does not help alleviate the hypercyanotic episode.
Choice C reason: While important for overall assessment, drawing blood for serum hemoglobin is not an immediate intervention during a 'tet' spell.
Choice D reason: Placing the infant in a knee-chest position increases systemic vascular resistance, which can help improve oxygenation.
Choice E reason: Administering morphine is appropriate as it helps to relax the infant, reducing the work of breathing and improving oxygenation.
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