A nurse is assessing a child with diabetes insipidus. Which sign should the nurse expect to note?
a. Weight gain
b. Increased urine specific gravity
c. Increased urination
d. Serum sodium level of 130 mEq/L
C
The deficiency of antidiuretic hormone associated with diabetes insipidus causes the body to excrete large volumes of dilute urine. Weight gain results from retention of water when there is an excessive production of antidiuretic hormone; in diabetes insipidus there is a decreased production of antidiuretic hormone. Concentrated urine is a sign of the syndrome of inappropriate antidiuretic hormone (SIADH), in which there is an excessive production of antidiuretic hormone. A deficiency of antidiuretic hormone, as with diabetes insipidus, results in an increased serum sodium concentration (greater than 145 mEq/L).
You might also like to view...
The nurse applies Maslow's hierarchy of needs to what aspect of care?
1. Judging the patient's behavior 2. Improving the skillfulness of care 3. Understanding the patient's behavior 4. Improving communication skills
The nurse reviews the patient's laboratory results and finds the level of Gonadotropin-releasing hormone (GnRH) has increased significantly since yesterday. When assessing this patient, what will the nurse expect to find?
A) The patient is pregnant. B) The patient's menses have begun. C) The patient is ovulating. D) The patient is preparing to deliver.
When a patient who introduces herself as a famous movie star and treats everyone and everything in the environment as if it were a movie set, the nurse documents this behavior as:
a. fantasy ideation. b. delusional thinking. c. fixation syndrome. d. imaginary wishes.
A nurse obtains a pulmonary artery pressure reading of 19/8 mm Hg in a client recovering from a myocardial infarction. What is the nurse's best action?
A. Assess the client's peripheral pulses. B. Decrease the IV flow rate. C. Notify the physician. D. Document the finding.