Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Hypernatremia

Increased urine output

Decreased serum sodium levels

Increased serum osmolality

Answer and Explanation

The Correct Answer is C

A. Hypernatremia is not characteristic of SIADH; hyponatremia is more common.
B. Increased urine output is not seen in SIADH; rather, there is decreased urine output.
C. Decreased serum sodium levels (hyponatremia) are a key feature of SIADH due to excessive water retention.
D. Increased serum osmolality is not seen in SIADH; decreased serum osmolality is more characteristic.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Muscle hypertrophy is not associated with hypercortisolism; muscle wasting is more common.
B. A butterfly rash on the face is indicative of lupus, not hypercortisolism.
C. Moon face, or the round, puffy face, is a common manifestation of hypercortisolism (Cushing's syndrome).
D. A positive Chvostek's sign indicates hypocalcemia, not hypercortisolism.

A. Severe dehydration B. Rebound pulmonary congestion C. Adrenocortical insufficiency D. Hyperglycemia

Correct Answer is C

Explanation

A. Severe dehydration is not a typical concern when discontinuing prednisone.
B. Rebound pulmonary congestion is not a known risk of stopping prednisone suddenly.
C. Adrenocortical insufficiency can occur if prednisone is discontinued abruptly because the body needs time to resume normal cortisol production.
D. Hyperglycemia is a side effect of prednisone use but is not a concern when tapering off the medication.

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Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism?

Correct Answer is C

Explanation

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Correct Answer is C

Explanation

The physician has ordered your client to receive Heparin at 15 u/kg/hr. Heparin is available as 25,000 units in 500 ml. Your client weighs 166 pounds. Calculate how many ml/hr to set the IV pump. Round answer to nearest tenth.

12. The physician has ordered the patient to receive Heparin 20 u/kg/hr in a continuous IV infusion. The client weighs 195 pounds. Heparin is available in a premixed bag and is labeled as 25,000 units in 250 ml. Calculate how many ml/hr to set the IV pump. Round answer to nearest whole number.

Give Nitroprusside 0.5 mcg/kg/min. The client weighs 176 lbs. The drug is available as 500mg in 500 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Round your answer to the nearest tenth and include the units of measure.)

The physician orders Dopamine 2.5 mcg/kg/min. Available is Dopamine 200mg in 250 ml normal saline. The client's weight is 138.6 lbs. Calculate mcg/min, mcg/hr. and mL/hr

A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?

Plasma pheresis is a therapeutic procedure used in the treatment of Guillain-Barré syndrome. Which of the following statements regarding plasma pheresis is correct?

Which of the following is a common symptom of Guillain-Barre syndrome?

A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?