A nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation would the nurse expect to observe?

Glycosuria

Polyuria and polydipsia

Nausea and vomiting

Oliguria

Answer and Explanation

The Correct Answer is B

A.   Glycosuria (presence of glucose in the urine) is not typical in diabetes insipidus, which primarily involves issues with water balance.
B.   Polyuria (frequent urination) and polydipsia (excessive thirst) are hallmark symptoms of diabetes insipidus, caused by a deficiency of antidiuretic hormone (ADH) or resistance to it.
C.   Nausea and vomiting can occur with many conditions but are not primary symptoms of diabetes insipidus.
D.   Oliguria (low urine output) is more commonly associated with conditions like dehydration or kidney failure, not diabetes insipidus, where the issue is excessive urine production.

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Correct Answer is D

Explanation

A. Abdominal distention is not a primary feature of pyloric stenosis. Instead, vomiting and dehydration are more commonly observed.
B. Diarrhea is not a typical symptom of pyloric stenosis, as the condition primarily causes vomiting rather than changes in stool consistency.
C. Constipation is not a major feature of pyloric stenosis; the child may experience other gastrointestinal symptoms like vomiting and poor feeding.
D. Projectile vomiting after feeding is the hallmark symptom of pyloric stenosis. This vomiting typically occurs within 30 minutes of feeding and may become forceful as the condition progresses.

A. Undigested emesis B. Apical heart rate of 156 bpm C. Serum potassium of 3.6 mEq/dL D. Sunken fontanelle

Correct Answer is D

Explanation

A. Undigested emesis is common in pyloric stenosis and is not the most urgent finding.
B. An apical heart rate of 156 bpm is elevated, but it is not the most urgent concern compared to dehydration and electrolyte imbalances.
C. A serum potassium of 3.6 mEq/L is within normal limits, so this is not the most pressing concern for the baby at this time.
D. A sunken fontanelle is a sign of dehydration, which is a significant and urgent concern in pyloric stenosis. Dehydration can lead to severe complications, so this requires immediate attention.

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A nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation would the nurse expect to observe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clinical manifestations is commonly seen in pyloric stenosis?

Correct Answer is D

Explanation

A one-month old baby has been admitted to the pediatric unit with the diagnosis of pyloric stenosis. Which of the following assessments is the highest priority for the nurse to report to the baby's primary health-care provider?

Correct Answer is D

Explanation

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the tube feeding?

A parent tells a nurse that her toddler drinks 32 oz of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddle is at risk for which of the following disorders?

Which of the following factors is associated with an increased in in pyloric stenosis?

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