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Test 3 questions
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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?1
A. SIADH1
B. Diabetes Insipidus
C. Addison's Disease
D. Fluid Volume Deficient
The answer is A: SIADH
2. In the scenario above what drug do you anticipate the patient will
be started on per doctor’s order?1
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A. Desmopressin (DDAVP) IV
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B. Declomycin1
C. Diabinese
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D. Stimate
The answer is B: Declomycin
3. Which of the following signs and symptoms is NOT expected with
Diabetes Insipidus?1
A. Polyuria
B. Polydipsia
C. Polyphagia1
D. Extreme thirst
The answer is C: Polyphagia
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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?1
A. Fluid volume overload1
B. Fluid volume deficient
C. Acute pain
D. Impaired skin integrity
The answer is A: Fluid volume overload
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?1
A. Signs and symptoms of hypoglycemia1
B. Restricting foods containing caffeine
C. Taking the medication on an empty stomach
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D. Drinking 16 oz of water when taking the medication
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The answer is A: Signs and symptoms of hypoglycemia
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6. Which patient is most at risk for developing Syndrome of
Inappropriate Anti-diuretic Hormone (SIADH)?1
Ed
A. A patient diagnosed with small cell lung cancer.1
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.
The answer is A: A patient diagnosed with small cell lung cancer.
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?1
A. Sodium level of 136.
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Test 3 questions
Ed
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?1
A. SIADH1
B. Diabetes Insipidus
C. Addison's Disease
D. Fluid Volume Deficient
The answer is A: SIADH
2. In the scenario above what drug do you anticipate the patient will
be started on per doctor’s order?1
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A. Desmopressin (DDAVP) IV
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B. Declomycin1
C. Diabinese
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D. Stimate
The answer is B: Declomycin
3. Which of the following signs and symptoms is NOT expected with
Diabetes Insipidus?1
A. Polyuria
B. Polydipsia
C. Polyphagia1
D. Extreme thirst
The answer is C: Polyphagia
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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?1
A. Fluid volume overload1
B. Fluid volume deficient
C. Acute pain
D. Impaired skin integrity
The answer is A: Fluid volume overload
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?1
A. Signs and symptoms of hypoglycemia1
B. Restricting foods containing caffeine
C. Taking the medication on an empty stomach
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D. Drinking 16 oz of water when taking the medication
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The answer is A: Signs and symptoms of hypoglycemia
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6. Which patient is most at risk for developing Syndrome of
Inappropriate Anti-diuretic Hormone (SIADH)?1
Ed
A. A patient diagnosed with small cell lung cancer.1
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.
The answer is A: A patient diagnosed with small cell lung cancer.
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?1
A. Sodium level of 136.
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