NURS 495: Exam IV: DI/SIADH/CSW NCLEX q's

A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly "water" weight. In addition, they report the patient hasn't been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient's HR is 115 and BP 180/92. Patient sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting with?* 1. SIADH 2. Diabetes Insipidus 3. Addison's Disease 4. Fluid Volume Deficient

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Where is the anti-diuretic hormone PRODUCED in the body?* 1. Hypothalamus 2. Posterior pituitary gland 3. Medulla 4. Anterior pituitary gland

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Which of the following signs and symptoms is NOT expected with Diabetes Insipidus?* 1. Polyphagia 2. Extreme thirst 3. Polydipsia 4. Polyuria

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Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic Hormone (SIADH)? 1. A patient with a tumor on the anterior pituitary gland. 2. A patient diagnosed with small cell lung cancer. 3. A patient taking Declomycin. 4. A patient whose kidney tubules are failing to reabsorb water.

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You are developing a care plan for a patient with SIADH. Which of the following would be a potential nursing diagnosis for this patient?* 1. Fluid volume overload 2. Impaired skin integrity 3. Fluid volume deficient 4. Acute pain

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A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? 1. Infusing I.V. fluids rapidly as ordered 2. Restricting fluids 3. Administering glucose-containing I.V. fluids as ordered 4. Encouraging increased oral intake

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A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should nurse Lina provide? 1. "You won't need to monitor your fluid intake and output after you start taking desmopressin." 2. "You may not be able to use desmopressin nasally if you have nasal discharge or blockage." 3. "Your condition isn't chronic, so you won't need to wear a medical identification bracelet." 4. "Administer desmopressin while the suspension is cold."

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In the scenario above, which drug do you anticipate the patient will be started on per doctor's order? 1. Desmopressin (DDAVP) IV 2. Declomycin 3. Diabinese 4. Stimate

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The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.* 1. absent, absent 2. low, high 3. high, low 4. low, low

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When caring for a male client with diabetes insipidus, nurse Juliet expects to administer: 1. 10% dextrose. 2. vasopressin (Pitressin Synthetic). 3. furosemide (Lasix). 4. regular insulin.

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Where is the anti-diuretic hormone SECRETED in the body? 1. Anterior pituitary gland 2. Posterior Pituitary gland 3. Thyroid 4. Hypothalamus

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A patient with SIADH is undergoing IV treatment of a hypertonic IV solution of 3% saline and IV Lasix. Which of the following nursing findings requires intervention?* 1. Patient reports urinating more frequently. 2. Potassium level of 5.0. 3. Assessment finding of crackles throughout the lung fields. 4. Sodium level of 136.

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Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications? 1. Weight loss 2. Polyuria 3. Tetanic contractions 4. Neck vein distention

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Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? 1. The heart rate is 126 beats/minute. 2. Blood pressure is 90/50 mm Hg. 3. Urine output measures more than 200 ml/hour. 4. Fluid intake is less than 2,500 ml/day.

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