A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH).
The nurse would monitor the client for which of the following electrolyte imbalances?
Hyponatremia.
Hypernatremia.
Hyperkalemia.
Hypokalemia.
The Correct Answer is A
SIADH is a condition in which your body makes too much antidiuretic hormone (ADH), which controls how your body releases and conserves water.
SIADH makes it harder for your kidneys to release water and causes the levels of electrolytes, like sodium, to fall due to water retention.
This leads to hyponatremia, which is when you have low levels of sodium in your blood.
Choice B is wrong because hypernatremia is when you have high levels of sodium in your blood.
This can occur due to dehydration, excessive salt intake, or kidney problems.
Choice C is wrong because hyperkalemia is when you have high levels of potassium in your blood.
This can occur due to kidney failure, acidosis, or certain medications.
Choice D is wrong because hypokalemia is when you have low levels of potassium in your blood.
This can occur due to vomiting, diarrhea, diuretics, or alkalosis.
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Related Questions
Correct Answer is B
Explanation
This is because hyponatremia is a condition where sodium levels in your blood are lower than normal, usually due to too much water in your body that dilutes the sodium. A hypertonic saline solution is a fluid that has a higher concentration of sodium than blood, and it can help restore the normal sodium balance by drawing water out of the cells.
Choice A is wrong because restricting fluid intake may not be enough to correct severe hyponatremia, and it may worsen the symptoms of dehydration.
Choice C is wrong because encouraging increased fluid intake will further lower the sodium levels and increase the risk of complications such as brain swelling.
Choice D is wrong because administering a loop diuretic will cause more sodium and water loss from the kidneys, which can worsen hyponatremia and dehydration.
Normal ranges for blood sodium levels are between 135 and 145 milliequivalents per liter (mEq/L).
Hyponatremia is defined as a blood sodium level below 135 mEq/L1.
Correct Answer is D
Explanation
Protein intake can increase the excretion of calcium and oxalate in the urine, which can promote the formation of calcium oxalate stones. The client should limit animal protein sources, such as meat, poultry, fish, eggs, and dairy products.
Choice A is wrong because purine-rich foods, such as organ meats, shellfish, and beer, can increase the production of uric acid, which can cause uric acid stones.
Choice B is wrong because a low-calcium diet can increase the absorption of oxalate in the intestine, which can increase the risk of calcium oxalate stones.
The client should consume a moderate amount of calcium from dietary sources, such as milk, cheese, yogurt, and green leafy vegetables.
Choice C is wrong because potassium-rich foods, such as bananas, oranges, potatoes, and tomatoes, can help prevent calcium oxalate stones by increasing the urinary pH and citrate levels.
The client should consume adequate amounts of potassium from dietary sources.
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