A child develops syndrome of inappropriate antidiuretic hormone secretion (SIADH) as a complication to meningitis. What action should be verified before implementing?
a. Forcing fluids
b. Daily weights with strict input and output (I and O)
c. Strict monitoring of urine volume and specific gravity
d. Close observation for signs of increasing cerebral edema
ANS: A
The treatment of SIADH consists of fluid restriction until serum electrolytes and osmolality return to normal levels. SIADH often occurs in children who have meningitis. Monitoring weights, keeping I and O and specific gravity of urine, and observing for signs of increasing cerebral edema are all part of the nursing care for a child with SIADH.
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