Author Question: A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone ... (Read 113 times)

craiczarry · **on:** Jun 25, 2018

A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Which interventions should the nurse plan? (select all that apply.)

a. Assist with activities of daily living.
b. Record accurate urine.
c. Weigh the patient daily.
d. Assess for changes in level of conscious-ness.
e. Assess stools for occult blood.

Question 2

The nurse is caring for a patient and during the assessment, observes a full-thickness 2 cm 1 cm skin tear on the right buttock. How should the nurse stage this pressure ulcer?

a. Category I
b. Category II
c. Category III
d. Category IV

peilian · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, B, C, D
The nurse should assist with activities of daily living because of weakness, record accurate urine output because of oliguria, weigh the patient daily to assess fluid volume status, and assess for changes in level of consciousness. There is no overt threat of a GI bleed with SIADH, so assess-ing stools for occult blood is not indicated.

Answer to Question 2

C
Category III skin tears have complete tissue loss in which the epidermal flap is missing. Category I skin tears do not have tissue loss. Category II skin tears reflect a partial tissue loss. There is no Category IV.