Question

A client post craniotomy has been diagnosed with SIADH. Which symptoms would the nurse expect the client to exhibit? A. Polydipsia and bradycardia B. Euphoria and polyuria C. Muscle weakness and irritability D. Ringing in the ears and blurred vision

Short answer

Answer: Muscle weakness and irritability.

Step-by-step solution

Understand SIADH and its symptoms

SIADH is caused by an excessive release of antidiuretic hormone (ADH) which causes the body to retain too much water. This leads to a dilution of sodium in the bloodstream, known as hyponatremia. The main symptoms of SIADH include: - Weakness - Muscle cramps - Nausea and vomiting - Irritability - Headache - Mental confusion - Seizures, coma (in severe cases) - Decreased urine output (oliguria)

Check each option against the symptoms of SIADH

Option A: Polydipsia (excessive thirst) and bradycardia (slow heart rate). Polydipsia is not a symptom of SIADH, and bradycardia is not directly related to SIADH. Option B: Euphoria and polyuria (increased urine output). These symptoms are also not related to SIADH. In fact, decreased urine output is a symptom of SIADH. Option C: Muscle weakness and irritability. These two symptoms correspond with the main symptoms of SIADH mentioned in step 1. Option D: Ringing in the ears (tinnitus) and blurred vision. While these symptoms can occur in various conditions, they are not specific to SIADH.

Choose the correct option

Based on the analysis above, the nurse would expect the client post craniotomy diagnosed with SIADH to exhibit the symptoms found in Option C: Muscle weakness and irritability.