A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?
Weight loss
Oliguria
Hypernatremia
Increased thirst
The Correct Answer is B
A) SIADH leads to water retention due to excessive secretion of antidiuretic hormone (ADH), resulting in weight gain rather than weight loss.
B) SIADH causes the kidneys to retain water, leading to decreased urine output (oliguria) and concentrated urine.
C) SIADH typically results in dilutional hyponatremia due to water retention, not hypernatremia.
D) In SIADH, the body retains water excessively, leading to decreased serum osmolality and suppression of thirst, rather than increased thirst.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Edema in chronic kidney failure is more closely associated with sodium and water retention rather than protein intake.
B. Hyperkalemia in chronic kidney failure can be managed by restricting dietary potassium intake, but it is not primarily related to protein intake.
C. A low-protein diet aims to decrease, not increase, nitrogenous wastes in the blood.
D. A low-protein diet reduces the risk for uremia, a condition resulting from chronic kidney failure where urea and other waste products build up in the body due to impaired renal function. A low-protein diet helps decrease the workload on the kidneys by reducing the amount of nitrogenous waste they need to filter and excrete.
Correct Answer is B
Explanation
A. Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus. Diabetes insipidus is characterized by excessive thirst and urination due to inadequate secretion of antidiuretic hormone (ADH), not hyperglycemia.
B. Dehydration is a hallmark finding in diabetes insipidus due to excessive urination and fluid loss. Clients with diabetes insipidus may exhibit signs of dehydration, such as dry mucous membranes, decreased skin turgor, and hypotension.
C. Bradycardia is not typically associated with diabetes insipidus.
D. Polyphagia, or excessive hunger, is a symptom of diabetes mellitus, not diabetes insipidus.
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