What nursing care should be included for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
a. Maintain the child NPO (nothing by mouth).
b. Turn the child frequently.
c. Restrict fluids.
d. Encourage fluids.
ANS: C
Increased secretion of ADH causes the kidney to reabsorb water, which increases fluid volume and decreases serum osmolarity with a progressive reduction in sodium concentration. The immediate management of the child is to restrict fluids but not food. Frequently turning the child is not necessary unless the child is unresponsive. Encouraging fluids will worsen the child's condition.
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