Elevated anti-diuretic (ADH) levels and hyponatremia is seen with which of the following disorders?

Diabetes Insipidus

Acromegaly

Addisons disease

Syndrome of inappropriate Antiduretic Hormone

Answer and Explanation

The Correct Answer is D

A. Diabetes Insipidus is associated with reduced ADH levels, leading to excessive urination and dehydration, not hyponatremia.

B. Acromegaly results from excessive growth hormone (not ADH) secretion, causing abnormal growth of tissues and bones.

C. Addison's disease involves the adrenal glands and the insufficient production of cortisol and aldosterone, not ADH-related hyponatremia.

D. Syndrome of Inappropriate Antidiuretic Hormone (SIADH).

SIADH is a disorder characterized by the excessive release of antidiuretic hormone (ADH) from the posterior pituitary gland, leading to increased water reabsorption by the kidneys. This results in diluted blood and hyponatremia (low sodium levels) due to the retention of water. Patients with SIADH often experience fluid overload and related symptoms.

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Correct Answer is ["A","C","E"]

Explanation

A. Fatigue: Children with ALL often experience fatigue and weakness due to decreased red blood cell and platelet production as a result of bone marrow involvement by leukemia cells.

C. Pallor: Pallor, or paleness, is a common finding in children with ALL because of anemia (reduced red blood cell count).

E. Multiple bruises: Children with ALL may have an increased tendency to bruise and bleed due to low platelet counts, making them susceptible to easy bruising and petechiae.

The other options, B (Generalized edema) and D (Jaundice), are not typical clinical findings associated with ALL. Generalized edema is not a common symptom, and jaundice (yellowing of the skin and eyes) is more commonly associated with liver conditions, not leukemia.

A. 3% B. 8% C. 0.5% D. 5%

Correct Answer is B

Explanation

The reticulocyte count is a measure of young, immature red blood cells. An elevated reticulocyte count indicates the bone marrow's ability to respond to anemia by producing new red blood cells.

For an infant, a reticulocyte count of 8% would be an indicator of severe anemia. An elevated reticulocyte count suggests the body is trying to compensate for the decreased number of mature red blood cells by producing more young ones. This is often seen in severe anemia as the body attempts to increase the red blood cell count.

The other options (A, C, and D) represent normal or less severe reticulocyte counts.

A reticulocyte count of 3% is within the normal range.

A reticulocyte count of 0.5% is on the lower side but not as severe as 8%.

A reticulocyte count of 5% indicates a response to anemia but is not as elevated as 8%.

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Elevated anti-diuretic (ADH) levels and hyponatremia is seen with which of the following disorders?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is B

Explanation

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