FRANU NURS 3710 EXAM 4 QUESTIONS WITH
ANSWERS 100% VERIFIED
Low sodium can cause ___, therefore SIADH patient should be placed on _____ ______. -
ANSWER seizures, seizure precautions
In Diabetes Insipidus, is ADH secretion increased or decreased? - ANSWER decreased
What will a Diabetes Insipidus patient's urine specific gravity look like? - ANSWER less
than 1.005
How much urine output can a patient with diabetes insipidus have per day? - ANSWER
4-30 L urine/day
How would the urine in a diabetes insipidus patient be described as? - ANSWER large
amounts of dilute urine
In a diabetes insipidus patient, will the blood osmolarity be high or low? What will the
value look like? - ANSWER HIGH; >300
Do diabetes insipidus patients supper from hypernatremia or hyponatremia? What will
their sodium level look like? - ANSWER hypernatremia; > 125
In regards to weight, when should a diabetes insipidus patient contact the MD? -
ANSWER weight gain greater than 1 kg/2.2lb within 24 hours
With diabetes insipidus, fluid INTAKE should be ______ fluid OUTPUT. - ANSWER equal
to
What type of IV fluids would be administered to diabetes insipidus patients? - ANSWER
,0.45% normal saline
How do you correct urine output in diabetes insipidus? - ANSWER medication!! -->
desmopressin (DDAVP)
If a drug, such as lithium, causes diabetes insipidus, what should be done? - ANSWER
stop the lithium, contact MD
What forms are desmopressin available in? - ANSWER oral, sublingual, intranasally
What is the main thing we need to monitor for when placing a patient on desmopressin?
- ANSWER fluid overload --> hyponatremia
With diabetes insipidus, in severe dehydration, how will vasopressin be administered? -
ANSWER IV or IM
If a patient has an upper respiratory infection or past nasal trauma/surgery, which type
of desmopressin CANNOT be used? - ANSWER intranasal
In a patient undergoing treatment for diabetes insipidus, which symptoms indicate that
they should go to the ED immediately? - ANSWER persistent headache, acute confusion,
nausea, vomiting, weight gain of 2.2lb or more in 24 hours
In SIADH, is ADH secretion increased or decreased? - ANSWER increased
WIll a patient with SIADH experience hypernatremia or hyponatremia? What will their
sodium levels look like? - ANSWER hyponatremia; < 125
What is one of the most common causes of SIADH? - ANSWER small cell lung cancer
,What does an SIADH patient's urine look like? - ANSWER small amount of very
concentrated urine?
What would the urine specific gravity of a patient with SIADH be? - ANSWER greater
than 1.030
What are the early symptoms of SIADH? - ANSWER GI disturbances (loss of appetite,
nausea, vomiting), weight gain
What symptoms would a patient with SIADH experience that are related to
hyponatremia? - ANSWER lethargy and headaches, hostility, disorientation, altered level
of consciousness, decreased deep tendon reflexes, dull bounding pulses, hypothermia
Will an SIADH patient have high or low blood osmolarity? What will that value look like? -
ANSWER LOW, <270
Which of the following would be including in the plan of care for an SIADH patient?
- continuous IV fluids
- neuro assessment every 2-4 hours
- assess for any S&S of pulmonary edema
- fluid restriction
- vitals every 6 hours - ANSWER neuro assessment every 2-4 hours, assess for
pulmonary edema, fluid restriction
How much fluid restriction could an SIADH patient be placed on? - ANSWER 500 to 1000
mL per day
In an SIADH patient, what would you use to dilute tube feedings and irrigation? -
ANSWER saline, NOT WATER
What are the seizures precautions? Who would be placed on these? - ANSWER suction
, at bedside, padded bed rails, do not restrict pt during seizure, place close to nurses
station; SIADH patients
What type of IV fluids would you place an SIADH patient on IF necessary? - ANSWER 3%
normal saline
What type of solution is 0.45% normal saline? - ANSWER hypotonic
What type of solution is 3% normal saline? - ANSWER hypertonic
What type of solution is 0.9% normal saline? - ANSWER isotonic
What type of drugs are administered to SIADH patients when hyponatremia is present?
What are examples of this drug? - ANSWER vasopressin receptor antagonists;
tolvaptan, conivaptan
Which vasopressin receptor antagonist can be given orally? - ANSWER tolvaptan
Which vasopressin receptor antagonist can be given intravenously? - ANSWER
conivaptan
What is the black box warning for tolvaptan and conivaptan? What does this mean for
nursing care? - ANSWER RAPID increase in sodium levels (increase 12 mEq/L in 24
hours); can ONLY administer these drugs IN THE HOSPITAL
If tolvaptan is used in high doses or longer than 30 days, what becomes of concern? -
ANSWER liver failure --> death
When would diuretics be used in the treatment of SIADH? - ANSWER if sodium level is
130-135
ANSWERS 100% VERIFIED
Low sodium can cause ___, therefore SIADH patient should be placed on _____ ______. -
ANSWER seizures, seizure precautions
In Diabetes Insipidus, is ADH secretion increased or decreased? - ANSWER decreased
What will a Diabetes Insipidus patient's urine specific gravity look like? - ANSWER less
than 1.005
How much urine output can a patient with diabetes insipidus have per day? - ANSWER
4-30 L urine/day
How would the urine in a diabetes insipidus patient be described as? - ANSWER large
amounts of dilute urine
In a diabetes insipidus patient, will the blood osmolarity be high or low? What will the
value look like? - ANSWER HIGH; >300
Do diabetes insipidus patients supper from hypernatremia or hyponatremia? What will
their sodium level look like? - ANSWER hypernatremia; > 125
In regards to weight, when should a diabetes insipidus patient contact the MD? -
ANSWER weight gain greater than 1 kg/2.2lb within 24 hours
With diabetes insipidus, fluid INTAKE should be ______ fluid OUTPUT. - ANSWER equal
to
What type of IV fluids would be administered to diabetes insipidus patients? - ANSWER
,0.45% normal saline
How do you correct urine output in diabetes insipidus? - ANSWER medication!! -->
desmopressin (DDAVP)
If a drug, such as lithium, causes diabetes insipidus, what should be done? - ANSWER
stop the lithium, contact MD
What forms are desmopressin available in? - ANSWER oral, sublingual, intranasally
What is the main thing we need to monitor for when placing a patient on desmopressin?
- ANSWER fluid overload --> hyponatremia
With diabetes insipidus, in severe dehydration, how will vasopressin be administered? -
ANSWER IV or IM
If a patient has an upper respiratory infection or past nasal trauma/surgery, which type
of desmopressin CANNOT be used? - ANSWER intranasal
In a patient undergoing treatment for diabetes insipidus, which symptoms indicate that
they should go to the ED immediately? - ANSWER persistent headache, acute confusion,
nausea, vomiting, weight gain of 2.2lb or more in 24 hours
In SIADH, is ADH secretion increased or decreased? - ANSWER increased
WIll a patient with SIADH experience hypernatremia or hyponatremia? What will their
sodium levels look like? - ANSWER hyponatremia; < 125
What is one of the most common causes of SIADH? - ANSWER small cell lung cancer
,What does an SIADH patient's urine look like? - ANSWER small amount of very
concentrated urine?
What would the urine specific gravity of a patient with SIADH be? - ANSWER greater
than 1.030
What are the early symptoms of SIADH? - ANSWER GI disturbances (loss of appetite,
nausea, vomiting), weight gain
What symptoms would a patient with SIADH experience that are related to
hyponatremia? - ANSWER lethargy and headaches, hostility, disorientation, altered level
of consciousness, decreased deep tendon reflexes, dull bounding pulses, hypothermia
Will an SIADH patient have high or low blood osmolarity? What will that value look like? -
ANSWER LOW, <270
Which of the following would be including in the plan of care for an SIADH patient?
- continuous IV fluids
- neuro assessment every 2-4 hours
- assess for any S&S of pulmonary edema
- fluid restriction
- vitals every 6 hours - ANSWER neuro assessment every 2-4 hours, assess for
pulmonary edema, fluid restriction
How much fluid restriction could an SIADH patient be placed on? - ANSWER 500 to 1000
mL per day
In an SIADH patient, what would you use to dilute tube feedings and irrigation? -
ANSWER saline, NOT WATER
What are the seizures precautions? Who would be placed on these? - ANSWER suction
, at bedside, padded bed rails, do not restrict pt during seizure, place close to nurses
station; SIADH patients
What type of IV fluids would you place an SIADH patient on IF necessary? - ANSWER 3%
normal saline
What type of solution is 0.45% normal saline? - ANSWER hypotonic
What type of solution is 3% normal saline? - ANSWER hypertonic
What type of solution is 0.9% normal saline? - ANSWER isotonic
What type of drugs are administered to SIADH patients when hyponatremia is present?
What are examples of this drug? - ANSWER vasopressin receptor antagonists;
tolvaptan, conivaptan
Which vasopressin receptor antagonist can be given orally? - ANSWER tolvaptan
Which vasopressin receptor antagonist can be given intravenously? - ANSWER
conivaptan
What is the black box warning for tolvaptan and conivaptan? What does this mean for
nursing care? - ANSWER RAPID increase in sodium levels (increase 12 mEq/L in 24
hours); can ONLY administer these drugs IN THE HOSPITAL
If tolvaptan is used in high doses or longer than 30 days, what becomes of concern? -
ANSWER liver failure --> death
When would diuretics be used in the treatment of SIADH? - ANSWER if sodium level is
130-135
