A child weighing 18.2 kg with a history of diabetes insipidus has been admitted to the hospital. Which of the physician's orders would the nurse question?
1. Stat electrolytes
2. Urine specific gravity with each void
3. DDAVP (desmopressin) PO
4. Restrict oral fluids to 500 mL every 24 hours.
4
Rationale 1: Stat electrolytes would be an appropriate order to check for hypernatremia.
Rationale 2: Urine specific gravity is checked because it is often low.
Rationale 3: DDAVP is the drug of choice for a child with DI.
Rationale 4: Fluid replacement, not fluid restriction, is necessary for child with DI.
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