The nurse is creating the care plan for a patient with symptoms of DI who was admited to the hospital for evaluation and treatment of the condition. An appropriate nursing diagnosis for the patient is:

Excess ﬂuid volume related to intake greater than output.

Risk for impaired skin integrity related to generalized edema.

Activity intolerance related to muscle cramps and weakness.

Insomnia related to waking at night to void.

Answer and Explanation

The Correct Answer is A

Excess ﬂuid volume related to intake greater than output would be the most appropriate nursing diagnosis for a patient with symptoms of DI (diabetes insipidus). This condition results in excessive urine output and, as a consequence, can lead to dehydration and electrolyte imbalances. Therefore, monitoring and managing ﬂuid volume is a priority for patients with DI.

Risk for impaired skin integrity related to generalized edema is more commonly associated with conditions that cause ﬂuid retention such as heart failure, liver failure, or kidney disease, rather than DI.

Activity intolerance related to muscle cramps and weakness is a possible nursing diagnosis for patients with conditions that aﬀect muscle function, such as muscular dystrophy or multiple sclerosis, but not specifically for DI.

Insomnia related to waking at night to void is more commonly associated with urinary frequency or nocturia due to conditions such as urinary tract infections or benign prostatic hyperplasia, but not specifically for DI.

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Correct Answer is A

Explanation

Based on the given arterial blood gas results, the patient's pH is elevated, indicating alkalosis. The PaCO2 level is decreased, which suggests respiratory compensation. The bicarbonate (HCO3-) level is within the normal range. Therefore, the interpretation of the arterial blood gas results is respiratory alkalosis.

A. chicken leg, one slice of bread with buter, and steamed carrots B. A grilled cheese sandwich with tomato soup C. Slices of ham and cheese on whole grain crackers D. Chinese take-out, including steamed rice.

Correct Answer is A

Explanation

This meal choice is low in sodium as it contains fresh ingredients and does not include processed or pre-packaged foods that are typically high in sodium. Chicken, bread, and carrots are naturally low in sodium, and the client can control the amount of added salt or seasoning. In contrast, the other food choices are likely to be high in sodium due to added salt, cheese, or processed ingredients.

Therefore, the nurse should encourage the client to choose fresh, low-sodium foods and avoid processed or pre-packaged meals.

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The nurse is creating the care plan for a patient with symptoms of DI who was admited to the hospital for evaluation and treatment of the condition. An appropriate nursing diagnosis for the patient is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has the following arterial blood gas results: PH: 7.50. PaC02: 31 mm Hg, HC03-: 25 mEq/L. The nurse determines that these results indicate:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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