A 4 year-old has been admitted through the ER because of a ...

[laurencescou]

A 4 year-old has been admitted through the ER because of a diagnosis of the syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse will need to monitor for:
 
  1. Rapid weight loss.
   2. Laboratory tests for hyponatremia.
   3. Decreased turgor.
   4. An increase in urine output.

Question 2

A parent calls the clinic and reports that the toddler drank cleaning fluid. What is the most important instruction that the nurse can give the parent?
 
  1. Take the child immediately to the emergency room
   2. Force the child to drink milk
   3. Give the child Syrup of Ipecac
   4. Call the Poison Control Center immediately

[sarajane1989]

Answer to Question 1

2
Feedback
1. The nurse will see a weight gain because of fluid retention.
2. SIADH causes fluid retention, thus the sodium level rises.
3. Turgor will be increased and doughy.
4. Urine is retained, so the output will be low.

Answer to Question 2

4
Feedback
1. The sooner the treatment is started, the better for the child.
2. Having more fluid move through the GI track could cause further damage.
3. The cleaning fluid may have a negative reaction with Ipecac and should not be given.
4. Call the Poison Control Center immediately for further information.

[laurencescou]

Excellent

[helenmarkerine]

TYSM