Which nursing diagnosis would be MOST appropriate for the client with diabetes insipidus?
a. Body image disturbance related to physical changes
b. Fluid volume deficit related to polyuria
c. Risk for infection related to chronic steroid therapy
d. Altered nutrition, less than body requirements, related to imbalance between insulin, diet, and activity
B
Manifestations of diabetes insipidus include extreme polyuria, extreme thirst, preferring cold beverages, dizziness, weakness, bed wetting, nocturia, and fatigue. Complications if untreated are hypovolemia, circulatory collapse, unconsciousness, and central nervous system conditions.
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A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours
To examine the patient's abdominal pain, you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended. After you release the pressure, the patient complains of pain at the pressure site, indicating a. referred rebound tenderness. c. direct rebound tenderness. b. localized pain. d. positive Cullen's sign.
A client is admitted to the mental health unit, and the diagnosis of factitious disorder is made. The nurse can anticipate that the client will have a history of:
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