The nurse is caring for a child with syndrome of inappropriate antidiuretic hormone (SIADH) disorder. Which interventions should the nurse implement for this child? Select all that apply
1. Encouragement of fluids
2. Strict intake and output
3. Administration of ordered diuretics
4. Specific gravity of urine
5. Weight on admission, but not daily
2; 3; 4
Rationale:
1. Fluids are restricted to prevent further hemodilution. SIADH results from an excessive amount of serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be monitored strictly; diuretics such as furosemide (Lasix) are administered to eliminate excess body fluid; and urine-specific gravity is monitored.
2. SIADH results from an excessive amount of serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be monitored strictly; diuretics such as furosemide (Lasix) are administered to eliminate excess body fluid; and urine-specific gravity is monitored.
3. SIADH results from an excessive amount of serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be monitored strictly; diuretics such as furosemide (Lasix) are administered to eliminate excess body fluid; and urine-specific gravity is monitored.
4. SIADH results from an excessive amount of serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be monitored strictly; diuretics such as furosemide (Lasix) are administered to eliminate excess body fluid; and urine specific gravity is monitored.
5. Daily weights should be obtained to monitor fluid balance. SIADH results from an excessive amount of serum antidiuretic hormone, causing water intoxication and hyponatremia. Intake and output should be monitored strictly; diuretics such as furosemide (Lasix) are administered to eliminate excess body fluid; and urine-specific gravity is monitored.
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