WorksheetsDiabetes Insipidus and SIADH
Total questions: 11
Worksheet time: 10mins
Describe the image in 2-3 words
(a)
describe the image in 5 words
(a)
what does the nurse expect to find in a client with SIADH?
low blood osmolality
increased serum osmolality
low urine specific gravity
hyponatremia
decrease urine output
Ben is a 46 y/o, male, recently diagnosed with SIADH. Which of the following is not true about the disease?
Excessive ADH secretion from the pituitary gland even in the face of subnormal serum osmolality
Cannot excrete a dilute urine, retain fluids, and develop a sodium deficiency known as dilutional hyponatremia
Should restrict fluid intake
May be managed with diuretic agents such as furosemide (Lasix)
None of the above
Kathyrine is a 30 y/o, female, with a family history of diabetes insipidus. She submitted herself for a general check up. Upon assessment, she asked the nurse the difference of diabetes insipidus to diabetes mellitus. The following is/are true about diabetes insipidus, except:
Is a deficiency of ADH Is a deficiency of Vasopressin Patient will have a concentrated urine Patient will manifest polyuria and polydipsia Presence of albumin and glucose in the urine All except B All except C All of the above
Is a deficiency of ADH
Is a deficiency of Vasopressin
Patient will have a concentrated urine
Patient will manifest polyuria and polydipsia
Presence of albumin and glucose in the urine
During the general check up, it was found out that Kathyrine has symptoms of diabetes insipidus. She was submitted for fluid deprivation test. Which of the following is/are true about the procedure?
The fluid deprivation test is carried out by withholding fluids for 8 to 12 hours or until 3% to 5% of the body weight is gained.
The fluid deprivation test is carried out by withholding fluids for 8 to 12 hours or until 3% to 5% of the body weight is lost.
Plasma and urine osmolality studies are performed at the beginning and end of the test.
The inability to decrease the specific gravity and osmolality of the urine is characteristic of DI.
The inability to decrease the specific gravity and osmolality of the urine is characteristic of DI.
If Kathyrine has a confirmed case of diabetes insipidus, what will be the management if she has a central form of DI?
DDAVP or Desmopresin
Chlorpropamide (Diabinese)
Thiazide diuretics
Mild salt depletion
Prostaglandin inhibitors (ibuprofen, indomethacin, and aspirin)
A client is newly described with desmopressin nasal spray, which statement of the client indicates further health education to the patient
frequent headaches are normal
i will make sure to restrict my fluid intake
i am sure this drug will treat my SIADH
i will record my output closely as i take this drug
i will make sure to weigh my weight weekly
A client with a brain tumor develops diabetes insipidus, which data should the nurse expect to find?
dark urine with increased specific gravity
high blood serum osmolality
weight gain with edema
increased thirst
sodium level below 135 mg/dl
when caring for a client with SIADH, what does the nurse expect to implement?
0.9% IVF fluid
fluid restriction
sodium restriction
seizure precautions
measure weights weekly
describe in two to three words what this image is
(a)
