A client with Meniere disease is instructed to modify his diet. The nurse would explain that which item would be acceptable for the client to include?

Chicken noodle soup

Scrambled eggs

Baked ham

Cheese pizza

Answer and Explanation

The Correct Answer is B

A. Chicken noodle soup is high in sodium, which can exacerbate fluid retention and worsen symptoms of Meniere disease. Clients with Meniere disease are typically advised to follow a low-sodium diet to help manage their symptoms.
B. Scrambled eggs are low in sodium and are an appropriate food choice for a client with Meniere disease. This option supports the dietary modifications needed to manage the condition effectively.
C. Baked ham is high in sodium, which is not suitable for a client with Meniere disease. High-sodium foods can lead to fluid retention, worsening vertigo and other symptoms associated with the disease.
D. Cheese pizza contains significant amounts of sodium, which can aggravate Meniere disease symptoms. Clients are advised to avoid high-sodium foods to manage their condition better.

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Free Nursing Study Resources

Correct Answer is ["11.074"]

Explanation

To calculate the infusion rate, we'll use the following formula:

Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of heparin (units/mL)

First, calculate the desired dose in units/hr:

14 units/kg/hr x 79.1 kg = 1107.4 units/hr

Next, calculate the concentration of heparin in the IV bag:

25,000 units / 250 mL = 100 units/mL

Finally, plug the values into the formula:

Infusion rate = 1107.4 units/hr / 100 units/mL = 11.074 mL/hr

A. Administer desmopressin acetate 0.2 mg orally B. Maintain an intravenous (IV) infusion of 0.45% sodium chloride C. Restrict fluid intake to 1,000 mL per day D. Provide a diet containing 2 g of sodium per day

Correct Answer is C

Explanation

A. Desmopressin acetate is used to treat diabetes insipidus, not SIADH. In SIADH, there is excessive antidiuretic hormone causing fluid retention and dilutional hyponatremia, so this medication would not be appropriate.
B. Maintaining an IV infusion of 0.45% sodium chloride is not appropriate for SIADH, as this solution can further dilute sodium levels. Treatment usually involves hypertonic saline or fluid restriction.
C. Restricting fluid intake is a key management strategy for SIADH to address the fluid overload and help correct the low sodium levels. This action directly targets the root cause of the hyponatremia by reducing fluid intake.
D. Providing a diet with 2 g of sodium per day may not be sufficient or appropriate for treating SIADH-related hyponatremia. Fluid restriction is more critical in managing this condition.

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A client with Meniere disease is instructed to modify his diet. The nurse would explain that which item would be acceptable for the client to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["11.074"]

Explanation

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L (nl. 135-145 mEq/L). Which of the following prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

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