Author Question: Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should ... (Read 88 times)

Awilson837 · **on:** Jun 28, 2018

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should include (Select all that apply):

a. Weigh daily.
b. Encourage fluids.
c. Turn frequently.
d. Maintain nothing by mouth.
e. Restrict fluids.

Question 2

Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole) for the treatment of hyperthyroidism (Graves' disease)?

a. Seizures c. Pancreatitis or cholecystitis
b. Enlargement of all lymph glands d. Lethargy and somnolence

anoriega3 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, E
Increased secretion of ADH causes the kidney to resorb water, which increases fluid volume and decreases serum osmolarity with a progressive reduction in sodium concentration. The immediate management of the child is to restrict fluids. The child should also be weighed at the same time each day. Encouraging fluids, turning frequently, and maintaining nothing by mouth are not associated with SIADH.

Answer to Question 2

ANS: D
Parents should be aware of the signs of hypothyroidism that can occur from overdosage of the drug. The most common manifestations are lethargy and somnolence. Seizures and pancreatitis are not associated with the administration of Tapazole. Enlargement of the salivary and cervical lymph glands occurs.