The nurse is caring for a client suspected of having an endocrine disorder.

Exhibits

Based on the client's laboratory data, the client is at the highest risk for which condition?

Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Cushing's syndrome/disease

Adrenal insufficiency

Diabetes Insipidus (DI)

Answer and Explanation

The Correct Answer is A

Choice A rationale: These lab findings, particularly concentrated urine (high specific gravity) and hyponatremia, are consistent with SIADH, where excessive ADH secretion leads to water retention and dilutional hyponatremia.

Choice B rationale: While it can affect sodium levels, Cushing's syndrome typically results in hypernatremia or normal sodium levels rather than hyponatremia.

Choice C rationale: Usually presents with hyponatremia but not specifically with high urine specific gravity or hematocrit.

Choice D rationale: DI is associated with high serum sodium and low urine specific gravity due to excessive excretion of dilute urine.

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Correct Answer is B

Explanation

Choice A rationale: PID is not associated with meningitis, which is an infection or inflammation of the meninges.

Choice B rationale: Chronic PID typically involves long-term inflammation of the pelvic organs, including the fallopian tubes and ovaries.

Choice C rationale: This condition refers to genital warts caused by HPV, not directly related to PID.

Choice D rationale: Dysplasia refers to abnormal cell growth or development and isn't directly associated with PID.

A. urinary catheter obstruction B. shock C. hyponatremia D. urinary tract infection

Correct Answer is A

Explanation

Choice A rationale: The signs and symptoms of urinary catheter obstruction include hematuria with clots, bladder spasms, and a feeling of urinary urgency. The nurse should increase the rate of the continuous bladder irrigation to flush out the clots and relieve the obstruction. The nurse should also monitor the client's vital signs, fluid balance, and pain level. The other options are not consistent with the client's presentation.

Choice B rationale: Shock would cause hypotension, tachycardia, and decreased urine output.

Choice C rationale: Hyponatremia would cause confusion, weakness, and seizures.

Choice D rationale: Urinary tract infection would cause fever, chills, and foul-smelling urine.

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The nurse is caring for a client suspected of having an endocrine disorder. Exhibits Based on the client's laboratory data, the client is at the highest risk for which condition?

Nursing Test Bank

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The nurse is caring for a client suspected of having an endocrine disorder.

Exhibits

Based on the client's laboratory data, the client is at the highest risk for which condition?