Syndrome Of Inappropriate Antidiuretic Hormone (Siadh) By Rnpedia
A hormone is any member of a class of signaling molecules produced by glands to target distant organs to regulate physiology and behavior. If you are a student of biology or in any way interested in the study, this is the quiz for you.
- 1.
Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?
- A.
Tetanic contractions
- B.
Neck vein distention
- C.
Weight loss
- D.
Polyuria
Correct Answer
B. Neck vein distentionExplanation
SIADH secretion causes antidiuretic hormone overproduction, which leads to fluid retention. Severe SIADH can cause such complications as vascular fluid overload, signaled by neck vein distention. This syndrome isn’t associated with tetanic contractions. It may cause weight gain and fluid retention (secondary to oliguria).Rate this question:
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- 2.
A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
- A.
Infusing I.V. fluids rapidly as ordered
- B.
Encouraging increased oral intake
- C.
Restricting fluids
- D.
Administering glucose-containing I.V. fluids as ordered
Correct Answer
C. Restricting fluidsExplanation
To reduce water retention in a client with the SIADH, the nurse should restrict fluids. Administering fluids by any route would further increase the client’s already heightened fluid load.Rate this question:
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- 3.
Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?
- A.
Tetanic contractions
- B.
Neck vein distention
- C.
Weight loss
- D.
Polyuria
Correct Answer
B. Neck vein distentionExplanation
SIADH secretion causes antidiuretic hormone overproduction, which leads to fluid retention. Severe SIADH can cause such complications as vascular fluid overload, signaled by neck vein distention. This syndrome isn’t associated with tetanic contractions. It may cause weight gain and fluid retention (secondary to oliguria).Rate this question:
-
- 4.
A client is admitted to the unit with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). For which electrolyte abnormality will you be sure to monitor?
- A.
Hypokalemia
- B.
Hyperkalemia
- C.
Hyponatremia
- D.
Hypernatremia
Correct Answer
C. HyponatremiaExplanation
SIADH causes a relative sodium deficit due to excessive retention of water.Rate this question:
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- 5.
A nurse assessing a client with SIADH would expect to find laboratory values of:
- A.
Serum Na= 150 mEq/L and low urine osmolality
- B.
Serum K= 5 mEq/L and low serum osmolality
- C.
Serum Na=120 mEq/L and low serum osmolality
- D.
Serum K= 3 mEq/L and high serum osmolality
Correct Answer
C. Serum Na=120 mEq/L and low serum osmolalityExplanation
In SIADH (syndrome of inappropriate antidiuretic hormone secretion), there is an excessive release of ADH, leading to water retention and dilutional hyponatremia. The low serum osmolality indicates that there is an excess of water in the body, causing the dilution of sodium levels. A serum sodium level of 120 mEq/L is considered low and is consistent with SIADH. Therefore, the correct answer is Serum Na=120 mEq/L and low serum osmolality.Rate this question:
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- 6.
Nurse Alexandra is establishing a plan of care for a client newly admitted with SIADH. The priority diagnosis for this client would be which of the following?
- A.
Fluid volume deficit
- B.
Anxiety related to disease process
- C.
Fluid volume excess
- D.
Risk for injury
Correct Answer
C. Fluid volume excessExplanation
SIADH results in fluid retention and hyponatremia. Correction is aimed at restoring fluid and electrolyte balance. Anxiety and risk for injury should be addressed following fluid volume excess.Rate this question:
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- 7.
Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes?
- A.
Diabetes mellitus.
- B.
Diabetes insipidus.
- C.
Diabetic ketoacidosis.
- D.
Syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Correct Answer
B. Diabetes insipidus.Explanation
Maintaining adequate fluid and replacing vasopressin are the main objectives in treating diabetes insipidus. An excess of antidiuretic hormone leads to SIADH, causing the patient to retain fluid. Diabetic ketoacidosis is a result of severe insulin insufficiency.Rate this question:
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- 8.
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
- A.
Infusing I.V. fluids rapidly as ordered
- B.
Encouraging increased oral intake
- C.
Restricting fluids
- D.
Administering glucose-containing I.V. fluids as ordered
Correct Answer
C. Restricting fluidsExplanation
To reduce water retention in a client with the SIADH, the nurse should restrict fluids. Administering fluids by any route would further increase the client's already heightened fluid load.Rate this question:
-
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Mar 21, 2023Quiz Edited by
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Jan 16, 2013Quiz Created by
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