The nurse is caring for a patient with lung cancer who develops syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Which assessment findings does the nurse expect?
a. Weight gain and concentrated urine
b. Poor skin turgor and polyuria
c. Truncal obesity and thin extremities
d. Fatigue and weakness
ANS: A
Excess antidiuretic hormone (ADH) causes water retention, with weight gain and concentrated urine. Poor skin turgor and polyuria are associated with diabetes insipidus, not SIADH. Truncal obesity and thin extremities are signs of Cushing's syndrome. Fatigue and weakness are nonspecific.
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