Which clinical manifestation should the nurse anticipate for a patient admited to the hospital with diabetes insipidus?

Fluid volume overload

Decreased gas exchange.

Generalized edema.

Polyuria.

Answer and Explanation

The Correct Answer is D

Diabetes insipidus is a condition in which the body is unable to properly regulate ﬂuid balance, leading to excessive urination (polyuria) and thirst. Therefore, the nurse should anticipate the clinical manifestation of polyuria in a patient admitted to the hospital with diabetes insipidus. The patient may excrete large amounts of dilute urine, which can lead to dehydration if adequate ﬂuid replacement is not provided. The other options listed (ﬂuid volume overload, decreased gas exchange, and generalized edema) are not typically associated with diabetes insipidus, as this condition is characterized by a deficiency of antidiuretic hormone (ADH) rather than an excess of ﬂuid.

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Correct Answer is B

Explanation

The patient received 38 U of NPH insulin at 7:00 AM, and by 1:00 PM, the insulin has been active for approximately 6 hours. The patient has missed lunch, which may lead to hypoglycemia, especially with the activity of the insulin.

Sending a glass of orange juice will provide the patient with a quick source of glucose to prevent hypoglycemia. If testing is further delayed, the nurse may request that the patient be allowed to eat lunch first or save the lunch tray for later, but immediate intervention is necessary to prevent hypoglycemia. Discontinuing the evening dose of insulin is not an appropriate action and should not be considered without consulting the healthcare provider.

A. The patient traveled to a country with poor sanitation. B. The patient used IV drugs about 20 years ago. C. The patient had a blood transfusion in 2005. D. The patient frequently eats in fast-food restaurants.

Correct Answer is B

Explanation

Intravenous drug use is a significant risk factor for hepatitis C transmission. The other options are not necessarily related to hepatitis C transmission. However, having a blood transfusion before 1992 or receiving an organ transplant before 1992, having a history of receiving blood products or clotting factor concentrates before 1987, and having been born to a mother with hepatitis C are also considered significant risk factors for hepatitis C transmission.

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Which clinical manifestation should the nurse anticipate for a patient admited to the hospital with diabetes insipidus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospitalized patient who is diabetic received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient was away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. What is the best action by the nurse to prevent hypoglycemia?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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