SIADH vs Diabetes insipidus

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Adult health 2 test 2 Quiz on SIADH vs Diabetes insipidus , created by Esmeralda Espitia on 04/02/2020.
Esmeralda Espitia
Quiz by Esmeralda Espitia, updated more than 1 year ago
Esmeralda Espitia
Created by Esmeralda Espitia over 4 years ago
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Resource summary

Question 1

Question
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?
Answer
  • A. SIADH
  • B. Diabetes Insipidus
  • C. Addison’s Disease
  • D. Fluid Volume Deficient

Question 2

Question
2. In the scenario above what drug do you anticipate the patient will be started on per doctor’s order?
Answer
  • A. Desmopressin (DDAVP) IV
  • B. Declomycin
  • C. Diabinese
  • D. Stimate

Question 3

Question
3. Which of the following signs and symptoms is NOT expected with Diabetes Insipidus?
Answer
  • A. Polyuria
  • B. Polydipsia
  • C. Polyphagia
  • D. Extreme thirst

Question 4

Question
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?
Answer
  • A. Fluid volume overload
  • B. Fluid volume deficient
  • C. Acute pain
  • D. Impaired skin integrity

Question 5

Question
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?
Answer
  • 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

Question 6

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

Question 7

Question
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?
Answer
  • 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.

Question 8

Question
8. The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.
Answer
  • A. high, low
  • B. absent, absent
  • C. low, high
  • D. low, low

Question 9

Question
9. Where is the anti-diuretic hormone PRODUCED in the body?
Answer
  • A. Anterior pituitary gland
  • B. Posterior pituitary gland
  • C. Hypothalamus
  • D. Medulla

Question 10

Question
10. Where is the anti-diuretic hormone SECRETED in the body?
Answer
  • A. Hypothalamus
  • B. Thyroid
  • C. Posterior Pituitary gland
  • D. Anterior pituitary gland
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