Author Question: A child is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). The parent asks ... (Read 40 times)

mwit1967 · **on:** Jun 28, 2018

A child is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). The parent asks why the child's sodium level is so low. Which response by the nurse is the most appropriate?

A.
It's a side effect of oral desmopressin (DDAVP).
B.
Sodium is being excreted in the large volume of urine.
C.
The water your child retains is diluting the sodium.
D.
Your child is not absorbing sodium in the intestines.

Question 2

A child is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding indicates a possible complication?

A.
Crackles in lung bases
B.
Decreased urine output
C.
Low serum sodium level
D.
Nausea and vomiting

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

Answer to Question 1

ANS: C
Hyponatremia is most often caused by dilution. In this case, the excess fluid the child is retaining is the cause. DDVAP is used to treat diabetes insipidus, not SIADH. In SIADH, urine volume is low. Absorption of sodium is not the issue.

Answer to Question 2

ANS: A
Because of fluid retention, heart failure is a potential complication and would manifest with lung congestion. The nurse would hear rales or crackles in the child's lungs. The other assessment findings are expected in the child with SIADH.