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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because obtaining a specimen for culture is essential to diagnose a potential sexually transmitted infection and guide appropriate treatment.

Choice B reason: Observing for a chancre-like lesion may be part of the assessment but is not the first step.

Choice C reason: Identifying sexual partners is important for contact tracing but is secondary to obtaining a diagnostic specimen.

Choice D reason: Assessing for itching and erythema is important but not the immediate priority.

A. A 70-year-old fair-skinned client who works as a secretary. B. A 65-year-old fair-skinned client who is a construction worker. C. A 25-year-old dark-skinned client whose mother had skin cancer. D. A 16-year-old dark-skinned client who tans in tanning beds once a week.

Correct Answer is B

Explanation

Choice A reason: While being fair-skinned and older increases risk, exposure to UV radiation is a significant factor.

Choice B reason:

The correct answer is b) because a fair-skinned client who works outdoors (construction worker) has higher exposure to UV radiation, increasing the risk of skin cancer.

Choice C reason: Having a family history of skin cancer is a risk factor, but dark-skinned individuals have lower risk compared to fair-skinned individuals with high UV exposure.

Choice D reason: Tanning bed use increases risk, but fair-skinned individuals with prolonged UV exposure have a higher overall risk.

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A client with chronic syndrome of inappropriate antidiuretic hormone (SIADH) reports to the nurse of being constantly thirsty. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the clinic nurse about experiencing burning on urination, and assessment reveals that the client had sexual intercourse four days ago with a person who was a casual acquaintance. Which action should the nurse implement?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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