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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is a priority nursing intervention for a client with acute kidney injury (AKI) because it helps to assess the renal function and fluid status of the client. Urine output is also an indicator of the response to treatment and the need for further interventions.
Choice A is wrong because pain medication is not a priority intervention for AKI unless the client has other conditions that cause pain.
Pain medication may also have adverse effects on the kidney function and should be used with caution.
Choice C is wrong because ambulation is not a priority intervention for AKI and may not be appropriate for a client who is fluid overloaded or hypotensive.
Ambulation may also increase the risk of falls and injury in a client who is confused or fatigued.
Choice D is wrong because assisting with meals is not a priority intervention for AKI and may not be necessary for a client who has adequate oral intake.
A client with AKI may also have dietary restrictions such as low protein, low potassium, low sodium, and low phosphorus, which should be considered when providing meals.
Correct Answer is B
Explanation
Hyponatremia is a condition where sodium levels in your blood are lower than normal. This can cause symptoms such as nausea, headache, confusion, muscle weakness and seizures. A hypertonic saline solution is a fluid that has a higher concentration of sodium than normal blood. It can help restore the sodium balance and prevent or treat the complications of hyponatremia.
Choice A is wrong because restricting fluid intake may not be enough to correct severe hyponatremia and may worsen the symptoms if the cause is sodium loss.
Choice C is wrong because encouraging increased fluid intake may further dilute the sodium levels and worsen the condition.
Choice D is wrong because administering a loop diuretic may increase the urine output and cause more sodium loss, leading to more severe hyponatremia.
Normal ranges for blood sodium levels are between 135 and 145 milliequivalents per liter (mEq/L).
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