You are caring because that a patience who has actually a diagnosis of syndrome of unreasonable antidiuretic hormonesecretion (SIADH). Your patients arrangement of treatment includes assessment of particular gravity every 4 hours. Theresults of this check will enable the nurse to assess what facet of the patient health?A) Nutritional statusB) Potassium balanceC) Calcium balanceD) liquid volume status
Ans: DFeedback:A particular gravity will certainly detect if the patient has a fluid volume deficit or fluid volume excess. Nutrition,potassium, and calcium levels room not straight indicated.
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The home wellness nurse is performing a residence visit for an oncology patience discharged 3 days earlier aftercompleting therapy for non-Hodgkin lymphoma. The nurses assessment should include examinationfor the signs and symptoms the what complication?A) Tumor lysis syndrome (TLS)B) Syndrome of unreasonable antiduretic hormone (SIADH)C) Disseminated intravascular coagulation (DIC)D) Hypercalcemia
Ans: AFeedback:TLS is a potentially fatal complication that occurs spontaneously or more commonly followingradiation, biotherapy, or chemotherapy-induced cell destruction of huge or rapidly cultivation cancers suchas leukemia, lymphoma, and little cell lung cancer. DIC, SIADH and also hypercalcemia are less likelycomplications following this treatment and also diagnosis.
A patient v a diagnosis the syndrome of unreasonable antidiuretic hormone cheap (SIADH) isbeing cared for on the vital care unit. The priority parenting diagnosis for a patient v this problem iswhat?A) danger for peripheral neurovascular dysfunctionB) Excess fluid volumeC) HypothermiaD) Ineffective airway clearance
Ans: BTest financial institution - Brunner & Suddarth\"s Textbook the Medical-Surgical parenting 14e (Hinkle 2017) 986Feedback:The priority education diagnosis for a patient v SIADH is excess liquid volume, as the patience retainsfluids and develops a salt deficiency. Restricting liquid intake is a usual intervention because that managingthis syndrome. Temperature inequalities are not linked with SIADH. The patience is not at hazard forneurovascular dysfunction or a compromised airway.
Diagnostic trial and error of an adult patience reveals renal glycosuria. The nurse have to recognize the require forTest bank - Brunner & Suddarth\"s Textbook the Medical-Surgical parenting 14e (Hinkle 2017) 1007the patient to be assessed for what wellness problem?A) Diabetes insipidusB) Syndrome of unreasonable antidiuretic hormone cheap (SIADH)C) Diabetes mellitusD) Renal carcinoma
Ans: CFeedback:Renal glycosuria can occur on its own as a light condition. It additionally occurs in poorly controlled diabetes,the most usual condition that causes the blood glucose level come exceed the kidney reabsorptioncapacity. Glycosuria is not linked with SIADH, diabetes insipidus, or renal carcinoma.
What must the nurse suspect when hourly evaluate of urine calculation on a patience postcraniotomyexhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours?A) Cushing syndromeB) Syndrome of unreasonable antidiuretic hormone (SIADH)C) Adrenal crisisD) Diabetes insipidus
Ans: DTest bank - Brunner & Suddarth\"s Textbook that Medical-Surgical parenting 14e (Hinkle 2017) 1248Feedback:Diabetes insipidus is an abrupt onset of extreme polyuria that frequently occurs in patient after brainsurgery. Cushing syndrome is excessive glucocorticoid secretion causing sodium and waterretention. SIADH is the result of boosted secretion the ADH; the patient becomes volume-overloaded,urine output diminishes, and serum salt concentration becomes dilute. Adrenal crisis isundersecretion that glucocorticoids leading to profound hypoglycemia, hypovolemia, and also hypotension.
When caring for a patient with raised ICP the nurse knows the importance of security for possiblesecondary complications, consisting of syndrome of unreasonable antidiuretic hormone (SIADH). Whatnursing interventions would certainly the nurse most most likely initiate if the patient occurred SIADH?A) liquid restrictionB) Transfusion of plateletsC) Transfusion of new frozen plasma (FFP)D) Electrolyte restriction
Ans: AFeedback:The nurse also assesses for complications of increased ICP, including diabetes insipidus, and SIADH.SIADH requires fluid restriction and monitoring the serum electrolyte levels. Transfusions areunnecessary.
After a subarachnoid hemorrhage, the patients activities results indicate a serum salt level that lessthan 126 mEq/L. What is the registered nurses most ideal action?A) provide a bolus of typical saline as ordered.B) Prepare the patient because that thrombolytic therapy as ordered.C) Facilitate testing for hypothalamic dysfunction.D) Prepare to administer 3% NaCl by IV together ordered.
Ans: DFeedback:The patient might be enduring syndrome of unreasonable antidiuretic hormone (SIADH) or cerebralsalt-wasting syndrome. The therapy most often is the usage of IV hypertonic 3% saline. A common salinebolus would certainly exacerbate the problem and also there is no indication because that tests of hypothalamic role orthrombolytic therapy.
A patient is admitted v the ED through suspected St. Louis encephalitis. The unique clinical featureof St. Luigi encephalitis will certainly make what nursing activity a priority?A) Serial assessments of hemoglobin levelsB) Blood glucose monitoringC) Close security of fluid balanceD) assessment of pain follow me dermatomes
Ans: CFeedback:A distinct clinical attribute of St. Louis encephalitis is SIADH through hyponatremia. Together such, the is importantto screen the patient intake and output closely.
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The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What is the nurse’s best action?
a. Encourage raised fluid and also water intake
b. Teach about risk for malignancies
c. Monitor for alters in level of consciousness
d. Assess labwork because that potassium level changes
As the surname suggests, SIADH is a condition in i beg your pardon antidiuretic hormone (ADH) is secreted in spite of normal or low plasma osmolarity, bring about water retention and dilutional hyponatremia. In solution to enhanced plasma volume, aldosterone cheap increases and also further contributes to salt loss. Hyponatremia frequently manifests with changes in level of awareness from confusion to coma. A large number that clinical conditions can cause SIADH including malignancies, pulmonary disorders, injury to the brain, and details pharmacologic agents. Malignancies frequently lead come SIADH versus SIADH leading to malignant conditions. Water intoxication have the right to lead come hyponatremia, because of this water input is restricted. The most impacted electrolyte native SIADH is sodium versus potassium.
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