A nurse doing a daily weight on a child with diabetes insipidus notes the child has lost two pounds in 24 hours. The nurse should
1. continue to monitor the child.
2. notify the physician regarding theweight loss.
3. chart the weight and report the lossto the next shift.
4. do nothing more than chart theweight,as this would be a normal finding.
Answer:2
Rationale: With diabetes insipidus the child may have severe fluid-volume deficit. A weight loss of two pounds indicates a loss of one liter of fluid,so the physician should be notified and fluids replaced either orally or intravenously. This is a significant loss in a 24-hour period,so continuing to monitor,charting the weight and reporting to the next shift,and doing nothing would prolong treatment.
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