A client with cancer is secreting excessive amounts of antidiuretic hormone. The nurse will monitor the client for which consequence of excess antidiuretic hormone secretion?
1. Fluid volume excess
2. Hyperkalemia
3. Hypernatremia
4. Dehydration
Correct Answer: 1
Rationale 1: Antidiuretic hormone increases renal tubular permeability and water retention.
Rationale 2: Antidiuretic hormone does not directly influence serum potassium concentration.
Rationale 3: Antidiuretic hormone increases reabsorption of water. Hypernatremia is associated with fluid volume deficit.
Rationale 4: Antidiuretic hormone increases permeability of the collecting ducts and promotes reabsorption of water.
Global Rationale: Antidiuretic hormone increases renal tubular permeability and water retention. Antidiuretic hormone does not directly influence serum potassium concentration. Antidiuretic hormone increases reabsorption of water. Hypernatremia is associated with fluid volume deficit. Antidiuretic hormone increases permeability of the collecting ducts and promotes reabsorption of water.
You might also like to view...
It is cold season and the school nurse been asked to provide an educational event for the parent teacher organization of the local elementary school. What should the nurse include in teaching about the treatment of pharyngitis?
A) Pharyngitis is more common in children whose immunizations are not up to date. B) There are no effective, evidence-based treatments for pharyngitis. C) Use of warm saline gargles or throat irrigations can relieve symptoms. D) Heat may increase the spasms in pharyngeal muscles.
Which of the following statements reflects an abnormal experience of grief?
a. Panic attacks b. Fatigue, nausea, and lowered immunity c. Guilt d. None of the above
A client presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The client has a history of hypertension. What is the top priority for this client?
1. Facilitate an immediate CT scan. 2. Provide pain medication. 3. Contact the client's family. 4. Obtain a surgical history.
A patient has a cerebrovascular accident and is incontinent of bowel and bladder. Incontinence of urine in this patient is related to a
A) Cystocele B) Enuresis C) Overactive bladder D) Neurogenic bladder