Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
19. When assessing a child for symptoms of neurogenic diabetes insipidus, what should a nurse anticipate?
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
19. When assessing a child for symptoms of neurogenic diabetes insipidus, what should a nurse anticipate?
. Elevated blood glucose.
. Increased levels of ADH.
. Increased urine output.
. Decreased serum sodium.
Test-Taking Tip
Recall that neurogenic diabetes insipidus and diabetes mellitus share the common symptom of polyuria.
Content Area: Child Health, Endocrine; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Fluid and Electrolyte Imbalances
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because the child should have a normal blood sugar; the child with diabetes mellitus will have elevated blood glucose. Answer 2 is incorrect because the condition is caused by decreased secretion of anti-diuretic hormone (ADH). Answer 3 is correct because the child with neurogenic diabetes insipidus (DI) will experience severe diuresis resulting from a decrease in ADH secretion. Answer 4 is incorrect because the child is likely to have increased serum sodium due to massive amounts of fluid loss through the urine.