Author Question: An adolescent client diagnosed with Graves disease is admitted to the hospital. Which clinical ... (Read 55 times)

leo leo · **on:** Jun 28, 2018

An adolescent client diagnosed with Graves disease is admitted to the hospital. Which clinical manifestations would the nurse expect on assessment?

1. Weight gain, hirsutism, and muscle weakness
2. Dehydration, metabolic acidosis, and hypertension
3. Tachycardia, fatigue, and heat intolerance
4. Hyperglycemia, ketonuria, and glucosuria

Question 2

The nurse is caring for a pediatric client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) disorder. Which interventions should the nurse implement for this child?

1. Encouragement of fluids
2. Strict intake and output
3. Administration of ordered diuretics
4. Specific gravity of urine
5. Weight only on admission but not daily

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

Answer to Question 1

Correct Answer: 3
Rationale: Graves disease occurs when thyroid hormone levels are increased, resulting in excessive levels of circulating thyroid hormones. Clinical manifestations include tachycardia, fatigue, and heat intolerance. Weight gain, hirsutism, and muscle weakness are signs of Cushing syndrome. Dehydration, metabolic acidosis, and hypertension are signs of congenital adrenal hyperplasia. Hyperglycemia, ketonuria, and glucosuria are signs of diabetes.

Answer to Question 2

Correct Answer: 2,3,4
Rationale: SIADH results from an excessive amount of serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be monitored strictly. Diuretics such as furosemide (Lasix) are administered to eliminate excess body fluid, and urine specific gravity is monitored. Fluids are restricted to prevent further hemodilution. Daily weights should be obtained to monitor fluid balance.