An expected nursing diagnosis for a 30-year-old patient admitted ...

[Coya19@aol.com]

An expected nursing diagnosis for a 30-year-old patient admitted to the hospital with symptoms of diabetes insipidus is
 
  a. excess fluid volume related to intake greater than output.
  b. impaired gas exchange related to fluid retention in lungs.
  c. sleep pattern disturbance related to frequent waking to void.
  d. risk for impaired skin integrity related to generalized edema.

Question 2

A 56-year-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would expect the initial laboratory results to include a(n)
 
  a. elevated hematocrit.
  b. decreased serum sodium.
  c. low urine specific gravity.
  d. increased serum chloride.

[randomguy133]

Answer to Question 1

ANS: C
Nocturia occurs as a result of the polyuria caused by diabetes insipidus. Edema, excess fluid volume, and fluid retention are not expected.

Answer to Question 2

ANS: B
When water is retained, the serum sodium level will drop below normal, causing the clinical manifestations reported by the patient. The hematocrit will decrease because of the dilution caused by water retention. Urine will be more concentrated with a higher specific gravity. The serum chloride level will usually decrease along with the sodium level.

[Coya19@aol.com]

Excellent

[peter]

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