Nursing care of a child diagnosed with a syndrome of ...

[Kthamas]

Nursing care of a child diagnosed with a syndrome of inappropriate ADH should include which of the following? (Select all that apply.)
 
  a. Weigh daily
  b. Encourage fluids
  c. Turn frequently
  d. Maintain nothing by mouth (NPO)
  e. Restrict fluids

Question 2

A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism. Which results are consistent with this condition?
 
  a. Decreased serum phosphorus
  b. Decreased serum calcium
  c. Increased serum glucose
  d. Decreased serum cortisol level

[Bigfoot1984]

Answer to Question 1

ANS: A, E
Increased secretion of ADH causes the kidney to reabsorb 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 will worsen the child's condition. Turning frequently is not an appropriate intervention unless the child is unresponsive. Fluids, not food, should be restricted.

Answer to Question 2

ANS: B
The diagnosis of hypoparathyroidism is made on the basis of clinical manifestations associated with decreased serum calcium and increased serum phosphorus. A decreased serum phosphorus would be seen in hyperparathyroidism, elevated glucose in diabetes, and a decreased serum cortisol level in adrenocortical insufficiency (Addison disease).

[Kthamas]

TYSM

[patma1981]

Gracias!