Author Question: A nurse is conducting a daily weight on a pediatric client diagnosed with diabetes insipidus and ... (Read 104 times)

Capo · **on:** Jun 28, 2018

A nurse is conducting a daily weight on a pediatric client diagnosed with diabetes insipidus and notes the child has lost two pounds in 24 hours. Which action by the nurse is the most appropriate?

1. Continue to monitor the child.
2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal finding.

Question 2

A school-age client is admitted to the hospital with osteomyelitis. Which statement regarding the treatment of osteomyelitis is most appropriate for the nurse to share with the parents?

1. Cultures should be done immediately after the first dose of antibiotic infuses.
2. Antibiotics are ineffective against this virus.
3. Methicillin is the antibiotic of choice.
4. Antibiotic therapy should continue for 36 weeks.

succesfull · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct 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 healthcare provider 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.

Answer to Question 2

Correct Answer: 4
Rationale: Medical management of osteomyelitis begins with intravenous administration of a broad-spectrum antibiotic. Antibiotic therapy should continue for 36 weeks. Cultures are always done before an antibiotic is started. Methicillin is not the drug of choice.