DI and SIADH NCLEX-like Critical Thinking Questions

For each client finding, put/type an X to specify whether it is a finding of DI or SIADH

The nurse is caring for a client who had a transsphenoidal removal of a pituitary tumor.  Which of the following findings would indicate that the client is experiencing a decrease of antidiuretic hormone? Select all that apply.

The nurse is caring for a client with a pituitary tumor.  The nurse reviews the client’s chart and notes the following abnormal findings:

• Weight 72 kg  +2 Kg from previous day
• BP 165/87
• HR 98
• Labs: Sodium 127 mEq/L
• I & O: +2800 ml last 24 hours

Which of the following doctor’s orders does the nurse anticipate?

The nurse is reviewing the labs of a client with SIADH. Which of the following laboratory findings should the nurse anticipate?

The nurse educates a client on the signs and symptoms of diabetes insipidus.  Which of the following signs and symptoms should the nurse include in the teaching plan?

The nurse anticipates which of the following doctor’s orders for a client with diabetes insipidus?

The nurse is caring for a client with nephrogenic diabetes insipidus. The client has the following signs and symptoms: Thirst, elevated serum sodium, elevated serum osmolality, tachycardia, blood pressure of 90/45, and excessive urine output.  Which of the following is the priority nursing intervention?

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone.  Which of the following information should the nurse include in the teaching plan?

The nurse is caring for a client with diabetes insipidus.  Which of the following doctor’s orders should the nurse anticipate? Select all that apply.

The nurse is caring for a client with small cell lung cancer who is admitted due to a sodium level of 108 mEq/L.  The client has gained 10 kgs of water weight.

Current vital signs

BP 189/87 

HR 110

RR 25

Which of the following conditions is the client most likely experiencing?

The nurse is admitting a client with diabetes insipidus.  Which of the following signs and symptoms does the nurse anticipate?

The nurse is caring for a client with SIADH.  Which of the following drugs does the nurse expect to start per doctor’s order?

The nursing diagnosis for diabetes insipidus is ________________and the nursing diagnosis for SIADH is____________________________.

Antidiuretic hormone is produced in the __________________ and secreted in the ______________________.