Question 1

During the first 24 hours when the nurse administers hypertonic saline in a patient with SIADH, the serum sodium should be raised no more than

Accepted Answer

One recommended regimen is an IV rate that provides sufficient sodium to raise serum sodium levels by up to 12 mEq/day for the first 24 hours (no more than 0.5 mEq each hour), with a total increase of 18 mEq/L in the initial 48 hours.

Question 2

In evaluating the patient's hyponatremia, the nurse understands the problem is

Accepted Answer

In SIADH, the increased levels of circulating ADH are unrelated to the serum sodium concentration.Aldosterone production from the adrenal glands is also suppressed.

Question 3

After a patient has been diagnosed with SIADH, the nurse would expect the first line of treatment to include

Accepted Answer

Reduction in fluid intake is one component of the treatment plan for SIADH.

Question 4

While a patient with SIADH is receiving hypertonic saline, the nurse assesses for signs that the saline must be stopped.These signs would include

Accepted Answer

Hypertension and lung crackles are signs of fluid overload.The hypertonic solution may pull fluid out of cells and tissues.Whereas weight gain signifies continual fluid retention, weight loss indicates loss of body fluid.

Question 5

A patient was admitted to the critical care unit with diabetic ketoacidosis (DKA).Glucose is 349 mg/dL, K⁺ is 3.7 mEq/L, and pH is 7.10.Which of the following interventions would you expect?

Accepted Answer

Dehydration is a common presenting issue in DKA, so the administration of fluids and insulin will help correct the hyperglycemia and acidosis.Sodium bicarbonate is not recommended unless the pH is less than 6.9.As dehydration is reversed, potassium moves back into the cells, and hypokalemia can result, so administration of replacement potassium is necessary.

Question 6

Patients who have sustained head trauma or have undergone resection of a pituitary tumor have an increased risk of developing

Accepted Answer

Any patient who has head trauma or resection of a pituitary tumor has an increased risk of developing DI.

Question 7

Decreased urine osmolality is a sign of

Accepted Answer

Decreased urine osmolality is a sign of DI.

Question 8

The neuroendocrine stress response produces which of the following?

Accepted Answer

The fight-or-flight response, or sympathetic nervous response, releases catecholamine that causes an increased heart rate and blood pressure.Blood is shunted form nonessential organs such as the stomach, glucose is made available to the brain cells, and pain awareness is decreased.

Question 9

The diagnosis of SIADH is made when which of the following conditions is present?

Accepted Answer

SIADH occurs when there are increased levels of ADH in the blood compared with a low serum osmolality.

Quiz 24: Endocrine Disorders and Therapeutic Management

During the first 24 hours when the nurse administers hypertonic saline in a patient with SIADH, the serum sodium should be raised no more than

In evaluating the patient's hyponatremia, the nurse understands the problem is

After a patient has been diagnosed with SIADH, the nurse would expect the first line of treatment to include

While a patient with SIADH is receiving hypertonic saline, the nurse assesses for signs that the saline must be stopped.These signs would include

A patient was admitted to the critical care unit with diabetic ketoacidosis (DKA) .Glucose is 349 mg/dL, K⁺ is 3.7 mEq/L, and pH is 7.10.Which of the following interventions would you expect?

Patients who have sustained head trauma or have undergone resection of a pituitary tumor have an increased risk of developing

Decreased urine osmolality is a sign of

The neuroendocrine stress response produces which of the following?

The diagnosis of SIADH is made when which of the following conditions is present?

Quiz 24: Endocrine Disorders and Therapeutic Management

During the first 24 hours when the nurse administers hypertonic saline in a patient with SIADH, the serum sodium should be raised no more than

In evaluating the patient's hyponatremia, the nurse understands the problem is

After a patient has been diagnosed with SIADH, the nurse would expect the first line of treatment to include

While a patient with SIADH is receiving hypertonic saline, the nurse assesses for signs that the saline must be stopped.These signs would include

A patient was admitted to the critical care unit with diabetic ketoacidosis (DKA) .Glucose is 349 mg/dL, K+ is 3.7 mEq/L, and pH is 7.10.Which of the following interventions would you expect?

Patients who have sustained head trauma or have undergone resection of a pituitary tumor have an increased risk of developing

Decreased urine osmolality is a sign of

The neuroendocrine stress response produces which of the following?

The diagnosis of SIADH is made when which of the following conditions is present?

A patient was admitted to the critical care unit with diabetic ketoacidosis (DKA) .Glucose is 349 mg/dL, K⁺ is 3.7 mEq/L, and pH is 7.10.Which of the following interventions would you expect?