A school-age client diagnosed with diabetes insipidus (DI) is ...

[Wadzanai]

A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis?
 
  1. Hyperglycemia
  2. Hypernatremia
  3. Hypercalcemia
  4. Hypoglycemia

Question 2

An adolescent client who is diagnosed with Duchenne muscular dystrophy is seen in the clinic for a routine health visit. Which nursing diagnosis is the priority for this client?
 
  1. Risk for Impaired Mobility Related to Hypertrophy of Muscles
  2. Risk for Infection Related to Altered Immune System
  3. Risk for Impaired Skin Integrity Related to Paresthesia
  4. Risk for Altered Comfort Related to Effects of the Illness

[ebonylittles]

Answer to Question 1

Correct Answer: 2
Rationale: In all forms of diabetes insipidus, serum sodium can increase to pathologic levels, so hypernatremia can occur and should be treated. The glucose level is not affected, so hypoglycemia or hyperglycemia is not caused by the diabetes insipidus. Hypercalcemia (high calcium) does not occur with this endocrine disorder.

Answer to Question 2

Correct Answer: 1
Rationale: Nursing care for muscular dystrophy (MD) focuses on promoting independence and mobility for this progressive, incapacitating disease. Risk for Infection, Risk for Impaired Skin Integrity, and Risk for Altered Comfort are not as high a priority as Risk for Impaired Mobility.