A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?
Weight loss
Oliguria
Hypernatremia
Increased thirst
The Correct Answer is B
A) SIADH leads to water retention due to excessive secretion of antidiuretic hormone (ADH), resulting in weight gain rather than weight loss.
B) SIADH causes the kidneys to retain water, leading to decreased urine output (oliguria) and concentrated urine.
C) SIADH typically results in dilutional hyponatremia due to water retention, not hypernatremia.
D) In SIADH, the body retains water excessively, leading to decreased serum osmolality and suppression of thirst, rather than increased thirst.

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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Aluminum hydroxide can lead to increased serum magnesium levels, but this is not the reason for its preference in chronic kidney disease.
B. Aluminum hydroxide is preferred because it binds to dietary phosphate, reducing serum phosphorus levels in patients with chronic kidney disease who are prone to hyperphosphatemia.
C. Aluminum hydroxide does not significantly affect serum potassium levels.
D. Aluminum hydroxide can lead to decreased serum calcium levels due to binding, but this is not the primary reason for its preference in chronic kidney disease.
Correct Answer is B
Explanation
A. Intention tremors are not typically associated with Addison's disease.
B. Hyperpigmentation, particularly in sun-exposed areas and pressure points, is a characteristic finding in Addison's disease due to increased melanocyte-stimulating hormone (MSH) production.
C. Purple striations are typically associated with Cushing's syndrome, not Addison's disease.
D. Hirsutism (excessive hair growth) is not a common manifestation of Addison's disease. It is more associated with Cushing’s disease.

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