Author Question: The nurse is planning to admit a 10-year-old child with syndrome of inappropriate antidiuretic ... (Read 13 times)

oliviahorn72 · **on:** Jun 28, 2018

The nurse is planning to admit a 10-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH). What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)

a. Polyuria
b. Anorexia
c. Polydipsia
d. Irritability
e. Stomach cramps

Question 2

The clinic nurse is assessing a child with central precocious puberty. What conditions can cause central precocious puberty? (Select all that apply.)

a. Trauma
b. Neoplasms
c. Radiotherapy
d. Exogenous sex hormones
e. Primary hypothyroidism

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

Answer to Question 1

ANS: B, D, E
Clinical signs of SIADH are directly related to fluid retention and hyponatremia. When cells in the brain are exposed to too much water as opposed to sodium, swelling occurs. When serum sodium levels are diminished to 120?9?mEq/l, affected children may display anorexia, nausea, vomiting, stomach cramps, irritability, and personality changes. Polyuria and polydipsia are manifestations of diabetes insipidus.

Answer to Question 2

ANS: A, B, C
Trauma, neoplasms, and radiotherapy can be the cause of central precocious puberty. Exogenous sex hormones and primary hypothyroidism can cause peripheral precocious puberty.