QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

A patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which initial laboratory result would the nurse expect?

Answer Choices:

Correct Answer:

Decreased serum sodium

Rationale:

💎 SIADH causes excessive release of antidiuretic hormone, leading to water retention and dilutional hyponatremia.

💎 Serum sodium decreases because excess water dilutes sodium concentration in the blood.

💎 Patients often present with neurologic symptoms such as headache, confusion, or seizures when sodium drops significantly.

💎 This is considered an initial laboratory finding and should be closely monitored to prevent complications.

💎 Prompt recognition helps initiate fluid restriction and other measures to correct sodium levels.

Want to practice more questions like this?

This question is from Med sur MCA 3 Exam 3 which contains 49 questions.

More Questions from This Exam
Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency (Addison's Disease)?

Answer Choices:

A. Decreasing blood glucose levels
B. Increasing serum potassium levels
C. Increasing serum sodium levels
D. Decreasing serum chloride levels
Which assessment findings are consistent with cirrhosis? Select all that apply

Answer Choices:

A. Jaundice
B. Spider angiomas
C. Lethargic
D. Apical pulse regular with S1, S2
E. Abdomen moderately distended
F. Dark amber urine
G. Peripheral pulses are palpable
H. 3+ pitting edema
A 55-year-old male was admitted 1 week ago for a left lower leg venous thromboembolism, confirmed by ultrasound. He started to work from home 4 months ago and reports that his activity level has significantly decreased. When admitted, his left lower leg had 3+ edema and was warm and reddened over the calf area. He was immediately started on intravenous heparin therapy, with warfarin (Coumadin) on the same day. The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?

Answer Choices:

A. Taking two medications dissolves the blood clot much faster.
B. Because of the risk for a blood clot in the lungs, it is important for you to take more than one blood thinner.
C. Heparin will start to dissolve the clot, and warfarin will prevent any more clots from forming.
D. Heparin works right away, but warfarin takes several days to prevent clots.
From Exam
Med sur MCA 3 Exam 3

49 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
Q