Author Question: What effects of an altered pituitary secretion in a child with meningitis indicates syndrome of ... (Read 16 times)

strangeaffliction · **on:** Jun 28, 2018

What effects of an altered pituitary secretion in a child with meningitis indicates syndrome of inappropriate antidiuretic hormone (SIADH)? (Select all that apply.)

a. Hypotension
b. Serum sodium is decreased
c. Urinary output is decreased
d. Evidence of overhydration
e. Urine specific gravity is increased

Question 2

The nurse is caring for a child with an epidural hematoma. The nurse should assess for what signs that can indicate Cushing triad? (Select all that apply.)

a. Fever
b. Flushing
c. Bradycardia
d. Systemic hypertension
e. Respiratory depression

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

Answer to Question 1

ANS: B, C, D, E
The serum sodium is decreased, urinary output is decreased, evidence of overhydration is present, and urine specific gravity is increased in SIADH. Hypertension, not hypotension, occurs.

Answer to Question 2

ANS: C, D, E
Cushing triad (systemic hypertension, bradycardia, and respiratory depression) is a late sign of impending brainstem herniation. Fever or flushing does not occur with Cushing triad.