Which of the following clinical assessment findings is most likely seen in a client experiencing hypernatremia as a result of diabetes insipidus?
1. Dry, sticky tongue
2. Increased anxiety
3. Nausea and vomiting
4. Decreased bowel sounds
ANS: 1
Physical examination of a hypernatremic client may reveal extreme thirst, dry and flushed skin, dry and sticky tongue and mucous membranes, postural hypotension, fever, agitation, convul-sions, restlessness, and irritability. The remaining options are examples of hyponatremia, hypoka-lemia, and hyperkalemia.
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