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Unformatted text preview: with hypertropic pyloric stenosis include metabolic alkalosis as a result of the
vomiting that occurs in this disorder. Additional findings include decreased serum potassium and sodium levels, increased pH
and bicarbonate level, and a decreased chloride level.
325. Increased Intracranial Pressure
DI can occur in a child with increased ICP. A urine specific gravity above 1.020, weight
gain, and hypertension are indications of the syndrome of inappropriate antidiuretic hormone (SIADH) secretion, not DI. A high
urine output would be indicative of DI.
326. Lead Poisoning If the child is receiving an IV infusion of calcium EDTA, the infusion should be stopped for 1 hour before
obtaining a blood level lead concentration. Otherwise, the blood lead concentration will indicate a falsely elevated reading.
Therefore, options 1, 3, and 4 are incorrect.
327. Anemia Clients with sickle cell anemia are advised to avoid strenuous activities. Quiet activities as tolerated are recommended
when the client is feeling well. Increasing fluid intake is encouraged to assist...
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- Spring '14