A patient has been diagnosed with a brain tumor that cannot be removed surgically. During each office visit, the nurse will be assessing the patient for syndrome of inappropriate antidiuretic hormone (SIADH)
Which of the following assessments would alert the clinic nurse that the patient may be developing this complication?
A)
Complaints that his urine output is decreased, no edema noted in ankles, and increasing headache
B)
Elevated blood glucose levels, dry mucous membranes, and severe projectile vomiting
C)
Fever, diarrhea, and nausea
D)
Muscle cramps, pins and needle sensation around the mouth/lips, and unexplained bruising
Ans:
A
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SIADH manifests as a dilutional hyponatremia. Decrease urine output, absence of edema, and headaches are signs of this. Answer choice B relates to s/s of diabetes insipidus; answer choice C is indicative of common flu s/s; answer choice D is relates to s/s of hypocalcemia.
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