PEDS ENDOCRINE DIABETES INSIPIDUS VS SIADH
PRACICE Q&A
A patient with a mild case of diabetes insipidus is started on Diabinese. What
would you include in your patient teaching with this patient?*
A. Signs and symptoms of hypoglycemia
B. Restricting foods containing caffeine
C. Taking the medication on an empty stomach
D. Drinking 16 oz of water when taking the medication --CORRECT
ANSWER--A
Which patient is most at risk for developing Syndrome of Inappropriate Anti-
diuretic Hormone (SIADH)?*
A. A patient diagnosed with small cell lung cancer.
B. A patient whose kidney tubules are failing to reabsorb water.
C. A patient with a tumor on the anterior pituitary gland.
D. A patient taking Declomycin. --CORRECT ANSWER--A
A patient with SIADH is undergoing IV treatment of a hypertonic IV solution
of 3% saline and IV Lasix. Which of the following nursing findings requires
intervention?*
A. Sodium level of 136.
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,B. Patient reports urinating more frequently.
C. Potassium level of 5.0.
D. Assessment finding of crackles throughout the lung fields. --CORRECT
ANSWER--D
The anti-diuretic hormone is __________ in Diabetes Insipidus and _________
in SIADH.*
A. high, low
B. absent, absent
C. low, high
D. low, low --CORRECT ANSWER--C
Where is the anti-diuretic hormone PRODUCED in the body?*
A. Anterior pituitary gland
B. Posterior pituitary gland
C. Hypothalamus
D. Medulla --CORRECT ANSWER--C
Where is the anti-diuretic hormone SECRETED in the body?*
A. Hypothalamus
B. Thyroid
C. Posterior Pituitary gland
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, D. Anterior pituitary gland --CORRECT ANSWER—C
A patient arrives to the ER and is unable to give you a health history due to
altered mental status. The family reports the patient has gained over 10 lbs in 1
week and says it is mainly "water" weight. In addition, they report the patient
hasn't been able to urinate or eat within the past week as well and was recently
diagnosed with small cell lung cancer. On assessment, you note the patient's HR
is 115 and BP 180/92. Patient sodium level is 90. Which of the following
conditions do you suspect the patient is most likely presenting with?*
A. SIADH
B. Diabetes Insipidus
C. Addison's Disease
D. Fluid Volume Deficient --CORRECT ANSWER--A
n the scenario above what drug do you anticipate the patient will be started on
per doctor's order?*
A. Desmopressin (DDAVP) IV
B. Declomycin
C. Diabinese
D. Stimate --CORRECT ANSWER--B
Which of the following signs and symptoms is NOT expected with Diabetes
Insipidus?*
A. Polyuria
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