The nurse is caring for a client with possible syndrome of inappropriate antidiuretic hormone (SIADH). The client is confused and reports a headache, muscle cramps, and twitching. Which of the following initial laboratory results should the nurse anticipate?
A)Elevated hematocrit
B)Decreased serum sodium
C)Increased serum chloride
D)Low urine specific gravity

Question

Quizplus · Accepted Answer

When water is retained, the serum sodium level will drop below normal, causing the clinical manifestations reported by the client. The hematocrit will decrease because of the dilution caused by water retention. Urine will be more concentrated with a higher specific gravity. The serum chloride level will usually decrease along with the sodium level.

The Nurse Is Caring for a Client with Possible Syndrome