Esmeralda Espitia
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Adult health 2 test 2 Quiz on SIADH vs Diabetes insipidus , created by Esmeralda Espitia on 04/02/2020.

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Esmeralda Espitia
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SIADH vs Diabetes insipidus

Question 1 of 10

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1. 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?

Select one of the following:

  • A. SIADH

  • B. Diabetes Insipidus

  • C. Addison’s Disease

  • D. Fluid Volume Deficient

Explanation

Question 2 of 10

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2. In the scenario above what drug do you anticipate the patient will be started on per doctor’s order?

Select one of the following:

  • A. Desmopressin (DDAVP) IV

  • B. Declomycin

  • C. Diabinese

  • D. Stimate

Explanation

Question 3 of 10

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3. Which of the following signs and symptoms is NOT expected with Diabetes Insipidus?

Select one of the following:

  • A. Polyuria

  • B. Polydipsia

  • C. Polyphagia

  • D. Extreme thirst

Explanation

Question 4 of 10

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4. You are developing a care plan for a patient with SIADH. Which of the following would be a potential nursing diagnosis for this patient?

Select one of the following:

  • A. Fluid volume overload

  • B. Fluid volume deficient

  • C. Acute pain

  • D. Impaired skin integrity

Explanation

Question 5 of 10

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5. A patient with a mild case of diabetes insipidus is started on Diabinese. What would you include in your patient teaching with this patient?

Select one of the following:

  • A. Signs and symptoms of hypoglycemia

  • B. Restricting foods containing caffeine

  • C. Taking the medication on an empty stomach

  • D. Drinking 16 oz of water when taking the medication

Explanation

Question 6 of 10

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6. Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic Hormone (SIADH)?

Select one of the following:

  • A. A patient diagnosed with small cell lung cancer.

  • B. A patient whose kidney tubules are failing to reabsorb water.

  • C. A patient with a tumor on the anterior pituitary gland.

  • D. A patient taking Declomycin.

Explanation

Question 7 of 10

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7. 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?

Select one of the following:

  • A. Sodium level of 136.

  • B. Patient reports urinating more frequently.

  • C. Potassium level of 5.0.

  • D. Assessment finding of crackles throughout the lung fields.

Explanation

Question 8 of 10

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8. The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.

Select one of the following:

  • A. high, low

  • B. absent, absent

  • C. low, high

  • D. low, low

Explanation

Question 9 of 10

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9. Where is the anti-diuretic hormone PRODUCED in the body?

Select one of the following:

  • A. Anterior pituitary gland

  • B. Posterior pituitary gland

  • C. Hypothalamus

  • D. Medulla

Explanation

Question 10 of 10

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10. Where is the anti-diuretic hormone SECRETED in the body?

Select one of the following:

  • A. Hypothalamus

  • B. Thyroid

  • C. Posterior Pituitary gland

  • D. Anterior pituitary gland

Explanation

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