The nurse is caring for a child with Syndrome of Inappropriate ...

[big1devin]

The nurse is caring for a child with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Which of the following interventions should the nurse implement for this child? Select all that apply.
 
  1. Encourage fluid intake
   2. Strict intake and output
   3. Administration of ordered diuretics
   4. Specific gravity of urine

Question 2

A nursery nurse is assessing a newborn. A normal assessment finding is:
 
  1. The child lifting its head off of the mattress.
   2. Head lag is present.
   3. Holding hands in an open position.
   4. Placing a toy in the mouth.

[mcomstock09]

Answer to Question 1

2, 3, 4
Feedback
1. Fluid intake should be restricted due to hemodilution.
2. SIADH results from excessive amounts of the serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be strictly monitored. Diuretics, such as furosemide (Lasix), are administered to eliminate excess body fluid.
3. Diuretics, such as furosemide (Lasix), are administered to eliminate excess body fluid and urine-specific gravity is monitored.
4. Urine-specific gravity is monitored. Fluids are restricted to prevent further hemodilution. Weight should be measured daily in order to monitor fluid balance.

Answer to Question 2

2
Feedback
1. A newborn does not have enough muscle control to lift his or her head off of a mattress.
2. Head lag is normal at this age.
3. At this age, a newborn will not hold their hands in an open position for long periods of time.
4. Placing a toy in the mouth does not occur for several months.

[big1devin]

TYSM

[yeungji]

Excellent