Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Hypernatremia

Increased urine output

Decreased serum sodium levels

Increased serum osmolality

Answer and Explanation

The Correct Answer is C

A. Hypernatremia is not characteristic of SIADH; hyponatremia is more common.
B. Increased urine output is not seen in SIADH; rather, there is decreased urine output.
C. Decreased serum sodium levels (hyponatremia) are a key feature of SIADH due to excessive water retention.
D. Increased serum osmolality is not seen in SIADH; decreased serum osmolality is more characteristic.

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Correct Answer is A

Explanation

A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.

A. Weight loss B. Hypernatremia C. Oliguria D. increased thirst

Correct Answer is C

Explanation

A. Weight loss is not a typical manifestation; weight gain due to fluid retention is more likely in SIADH.
B. Hypernatremia is not seen in SIADH; hyponatremia is more common.
C. Oliguria, or decreased urine output, is a characteristic manifestation of SIADH due to excessive antidiuretic hormone.
D. Increased thirst is not a primary symptom of SIADH; fluid retention and dilutional hyponatremia are more significant concerns.

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Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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