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A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

Thyroid storm

Vitamin D toxicity

Cushing syndrome

Syndrome of inappropriate antidiuretic hormone (SIADH)

Answer and Explanation

The Correct Answer is D

A. Thyroid storm is related to hyperthyroidism and is not directly associated with vasopressin treatment.

B. Vitamin D toxicity is unrelated to vasopressin and is not a concern in this scenario.

C. Cushing syndrome is caused by excess cortisol and is not related to vasopressin therapy.

D. SIADH is characterized by excessive release of antidiuretic hormone, which can lead to water retention and hyponatremia. Since vasopressin is an antidiuretic hormone analog, it can cause similar effects if not carefully monitored.

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Correct Answer is A

Explanation

A. Acetaminophen can be used to manage mild discomfort after cardiac catheterization. It is a safe option for pain relief and is commonly recommended for children following the procedure.

B. Bed rest is typically recommended for a shorter duration, often 24 hours, not a full week. Extended bed rest is not usually required unless complications occur.

C. The diet should be advanced as tolerated, but there is no specific requirement to wait 24 hours; this will depend on the child’s recovery and tolerance.

D. Bathing recommendations often include avoiding submerging the site in water, so a tub bath may not be advised for the first few days to prevent infection. Sponge baths might be recommended instead.

A. When hearing a loud noise, the infant cries and extends both arms and legs. B. When stroking the outer edge of the sole of the infant's foot, the toes fan upward and out. C. When infant's head is turned to one side, extension of the same side arm and leg occurs. D. When stroking the cheek, the infant turns toward that side of stimulation.

Correct Answer is B

Explanation

A. The Moro reflex, where the infant cries and extends both arms and legs in response to a loud noise, typically disappears by 4-6 months of age and would not be expected at 8 months.

B. The Babinski reflex, where the toes fan upward and out when the outer edge of the sole is stroked, is normal in infants and usually disappears by 12-24 months of age.

C. The tonic neck reflex (fencing reflex) typically disappears around 4-6 months of age, so it would not be expected in an 8-month-old.

D. The rooting reflex, where the infant turns their head toward the side of stimulation when the cheek is stroked, typically disappears by 3-4 months of age.

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A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

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Naxlex Comprehensive Predictor Exams

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