A client with chronic syndrome of inappropriate antidiuretic hormone (SIADH) reports to the nurse of being constantly thirsty. Which action should the nurse take?
Provide the client with additional oral fluids of her preference.
Measure the client's capillary glucose reading at regular intervals.
Encourage the client to use hard candy frequently to help relieve thirst.
Withhold the next diuretic dose until contacting the healthcare provider.
The Correct Answer is C
Choice A reason: Providing additional oral fluids is not appropriate for SIADH and can worsen fluid retention.
Choice B reason: Measuring glucose levels is important for diabetes management but not directly related to SIADH.
Choice C reason: Offering hard candy stimulates saliva production and soothes oral mucosa, providing relief of dry mouth and the perception of thirst without adding significant fluid volume, thereby supporting strict fluid restriction in SIADH management.
Choice D reason:
Withholding a prescribed diuretic without a clear order can disrupt the therapeutic plan, exacerbate fluid retention, and falls outside the nurse’s scope; diuretic adjustments should only follow provider directions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because increasing the intake of insoluble fiber can help prevent constipation and reduce the risk of diverticulitis by promoting regular bowel movements.
Choice B reason: Augmenting intake of dairy products is not specific to managing diverticulosis.
Choice C reason: Eliminating caffeine and chocolate is not necessary unless these foods cause symptoms.
Choice D reason: While reducing high-fat foods is good dietary advice, it is not specific to diverticulosis management.
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and reports a dry mouth. Which intervention should the nurse implement?
a) Encourage the client to drink water.
b) Administer a prescribed sedative.
c) Apply a high-flow Venturi mask.
d) Assist the client to an upright position.
The correct answer is: d) Assist the client to an upright position.
Choice A reason: Encouraging the client to drink water is beneficial but does not address the immediate need to ease breathing.
Choice B reason: Administering a sedative may help with anxiety but does not directly address the respiratory issue.
Choice C reason: Applying a high-flow Venturi mask may be necessary if oxygen saturation is low, but the first step should be to position the client for optimal breathing.
Choice D reason:
The correct answer is d) because assisting the client to an upright position can help ease breathing by allowing for better lung expansion.
Correct Answer is D
Explanation
Choice A reason: Warm, soft, moist, salmon-colored skin is not typical of Cushing's syndrome.
Choice B reason: Visible swelling of the neck, with no pain, is not specific to Cushing's syndrome.
Choice C reason: A husky voice and trouble with hoarseness are not typical of Cushing's syndrome.
Choice D reason:
The correct answer is d) because central-type obesity with thin extremities is a characteristic feature of Cushing's syndrome.
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