Edema is a hallmark sign of SIADH caused by fluid shifts into the extracellular space.

Clinical manifestations include concentrated urine output and overhydration.

A patient is recovering from a lung resection because of malignant bronchogenic small cell carcinoma.

His serum sodium is 120 mEq/L and SIADH is suspected.

Which statement is accurate regarding SIADH?

Management includes rapid restoration of serum sodium levels to normal.

SIADH occurs when excessive ADH is released by the anterior pituitary.

SIADH is characterized by diluted urine output and dehydration.

Serum sodium levels typically rise in cases of SIADH.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Rapid restoration of serum sodium levels can lead to central pontine myelinolysis, a severe neurological condition. Thus, management should be gradual.
Choice B rationale
SIADH occurs due to excessive release of antidiuretic hormone (ADH) from the posterior pituitary gland, not the anterior, leading to water retention and hyponatremia.
Choice C rationale
SIADH is characterized by concentrated urine due to water retention and overhydration, not diluted urine output and dehydration.
Choice D rationale
Serum sodium levels typically decrease in SIADH due to water retention and dilutional hyponatremia.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
Cervical cancer screening is recommended for individuals with a cervix starting at age 21, not necessarily for detecting colorectal cancer. It's an essential screening but irrelevant to middle-aged clients discussing colorectal cancer risk.
Choice B rationale
Lung cancer screening is mainly for people with a history of heavy smoking. Discussing lung cancer screening with a doctor is vital, but it does not address the early detection of colorectal cancer for average-risk individuals.
Choice C rationale
The previous recommendation was to start colorectal cancer screening at age 50. However, guidelines have updated, and this age is now considered outdated for average-risk individuals.
Choice D rationale
Colorectal cancer screening for everyone beginning at age 45 aligns with the latest American Cancer Society guidelines. This change reflects evidence showing the benefit of earlier screening to detect and prevent colorectal cancer in average-risk adults.

A. Muscle wasting and osteoporosis. B. Diaphoresis. C. Hypotension. D. Weight loss.

Correct Answer is A

Explanation

Choice A rationale
Muscle wasting and osteoporosis are common findings in Cushing's syndrome due to prolonged exposure to high levels of cortisol, which leads to the breakdown of muscle tissue and decreases in bone density.
Choice B rationale
Diaphoresis is not a typical feature of Cushing's syndrome. While excessive sweating can occur in various conditions, it is not a hallmark of Cushing's syndrome, which primarily affects muscle, bone, and fat distribution.
Choice C rationale
Hypotension is not characteristic of Cushing's syndrome. Instead, hypertension is more common due to cortisol's effects on increasing blood pressure through sodium and water retention.
Choice D rationale
Weight loss is not a typical finding in Cushing's syndrome. Individuals with Cushing's syndrome often experience weight gain, particularly around the abdomen, face, and neck, due to cortisol's effects on fat distribution.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?

Correct Answer is D

Explanation

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Which pathophysiologic events contribute to renal failure associated with tumor lysis syndrome?

A nurse is caring for a client who has Cushing's syndrome.Which of the following interventions should the nurse expect to perform? (Select all that apply.)

A patient has been admitted with tumor lysis syndrome (TLS). Which intervention would be incorporated into the plan of care to prevent the metabolic imbalances associated with this disorder?

A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?

A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several Questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?