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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: It is crucial to assess for fever, as a fever over 100°F after exposure to the flu may indicate an active infection, necessitating the postponement of immunizations.

Choice B reason: Administering vaccinations without assessing the child's health status, especially after known exposure to the flu, could be risky.

Choice C reason: Giving only the flu vaccination ignores the potential risk of the infant currently incubating the flu virus, which could be exacerbated by vaccination.

Choice D reason: While withholding all vaccinations is a cautious approach, it is not necessary unless the infant shows signs of illness, such as a fever over 100°F.

A. Explain the body changes that will take place. B. Maintain the child's normal routines. C. Allow the child to talk about the illness. D. Encourage friends to visit.

Correct Answer is B

Explanation

Choice A reason: Explaining body changes to a toddler may not be effective due to their limited understanding at this developmental stage.

Choice B reason: Maintaining normal routines provides a sense of security and normalcy, which is crucial for a toddler's emotional well-being, especially during a serious illness.

Choice C reason: Allowing the child to talk about the illness can be therapeutic, but toddlers may not have the verbal skills to express complex emotions or understand their condition.

Choice D reason: While encouraging friends to visit can provide social support, it is not as fundamental as maintaining daily routines that offer stability in the child's life. Maintaining normal routines is the most comforting and beneficial intervention for a toddler in this situation.

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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?

Nursing Test Bank

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