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 D

Explanation

Choice A reason: Skull radiography is not typically used to diagnose bacterial meningitis.

Choice B reason: MRI can be useful in identifying complications of meningitis but is not the primary diagnostic tool.

Choice C reason: A CT scan may be done prior to a lumbar puncture if there is a concern for increased intracranial pressure, but it is not the primary diagnostic procedure.

Choice D reason:

The correct answer is d) because a lumbar puncture is the definitive diagnostic procedure for bacterial meningitis. It allows for the analysis of cerebrospinal fluid (CSF) to identify the presence of bacteria and other indicators of infection.

A. Return for periodic liver function studies. B. Massage joints to relax muscles and decrease pain. C. Substitute natural fruit juices for carbonated drinks. D. Limit use of mobility equipment to avoid muscle atrophy.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because medications like colchicine and indomethacin can affect liver function, and periodic liver function studies are necessary to monitor for potential side effects.

Choice B reason: Massaging inflamed joints is not recommended as it can worsen inflammation.

Choice C reason: Substituting fruit juices for carbonated drinks is good dietary advice but not the most critical instruction.

Choice D reason: Limiting the use of mobility equipment is not relevant to managing gout and preventing complications.

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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

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Correct Answer is D

Explanation

Correct Answer is A

Explanation

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