A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH)as a complication of the cancer. The nurse Radiation Chemotherapy Increased fluid intake Decreased oral sodium intake Serum sodium level determination Medication that is antagonistic to antidiuretic hormone

1, 2, 5, 61,2, 3, 42, 3, 4, 5, 63, 5, 6

Explanation.

Cancer is a common cause of SIADH. In SIADH, excessive amounts of water are reabsorbed by the kidney and put into the systemic circulation. The increased water causes hyponatremia (decreased serum sodium levels) and some degree of fluid retention. The syndrome is managed by treating the condition and cause and usually includes fluid restriction, increased sodium intake, and medication with a mechanism of action that is antagonistic to antidiuretic hormone. Sodium levels are monitored closely because hypernatremia can develop suddenly as a result of treatment. The immediate institution of appropriate cancer therapy, usually radiation or chemotherapy, can cause tumor regression so that antidiuretic hormone synthesis and release processes return to normal.