Which sign, when exhibited by a hospitalized child, should the ...

[jCorn1234]

Which sign, when exhibited by a hospitalized child, should the nurse recognize as a characteristic of diabetes insipidus?
 
  a. Weight gain
  b. Increased urine specific gravity
  c. Increased urination
  d. Serum sodium level of 130 mEq/L

Question 2

A patient from a nondominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this patient?
 
  A) Offer to provide the patient with a back rub
  B) Measure the pain level with a pain rating scale
  C) Discuss pain control measures with the physician
  D) Nothing until the patient asks for pain medication

[mathjasmine]

Answer to Question 1

C
Feedback
A 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.
B Concentrated urine is a sign of the syndrome of inappropriate antidiuretic
hormone (SIADH), in which there is an excessive production of antidiuretic
hormone.
C The deficiency of antidiuretic hormone associated with diabetes insipidus causes
the body to excrete large volumes of dilute urine.
D A deficiency of antidiuretic hormone, as with diabetes insipidus, results in an
increased serum sodium concentration (greater than 145 mEq/L).

Answer to Question 2

B
Feedback:
The patient may be from a culture where it is inappropriate to respond to pain. The nurse needs to objectively assess the patient's level of pain before implementing nonpharmacologic or pharmacologic pain management measures. Offering to provide a back rub may or may not be desired by the patient. Discussing pain control measures with the physician may be premature. Doing nothing unless the patient asks for pain medication is inappropriate, considering the patient is in the second stage of labor.

[jCorn1234]

Thank you

[mathjasmine]

No problemo