A nurse is caring for a patient who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. What prescription should the nurse anticipate?
Provide a diet containing 2 g of sodium per day.
Administer desmopressin acetate 0.2 mg orally.
Restrict fluid intake to 1,000 mL per day.
Maintain an IV of 0.45% sodium chloride.
The Correct Answer is C
Choice A rationale
Providing a diet containing 2 g of sodium per day is not typically part of the treatment for SIADH. In fact, increasing sodium intake could potentially worsen hyponatremia, a common condition in SIADH7.
Choice B rationale
Administering desmopressin acetate 0.2 mg orally is not typically part of the treatment for SIADH. Desmopressin is a synthetic form of ADH, and administering this medication could potentially worsen the symptoms of SIADH, which is characterized by an overproduction of ADH7.
Choice C rationale
Restricting fluid intake to 1,000 mL per day is often part of the treatment for SIADH. This helps to correct the imbalance of water in the body, which is a common issue in SIADH8.
Choice D rationale
Maintaining an IV of 0.45% sodium chloride is not typically part of the treatment for SIADH. This type of IV fluid is hypotonic, meaning it has a lower concentration of solutes (like sodium) than the blood. This could potentially worsen the hyponatremia seen in SIADH7.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The patient has the right to withdraw their informed consent at any time, even after signing the consent form. This is a fundamental principle of patient autonomy and respect for the individual’s rights. The nurse should respect the patient’s decision and notify the surgeon that the patient wishes to withdraw informed consent for the procedure. This allows the healthcare team to reassess the situation, provide further information if necessary, and make appropriate adjustments to the care plan.
Choice B rationale
While informing the surgical team to cancel the surgery might be a subsequent step, it is not the immediate action the nurse should take. The first action should be to respect the patient’s autonomy and communicate their decision to the surgeon.
Choice C rationale
Proceeding with the preparation of the patient for the surgical procedure against their expressed wishes would be a violation of the patient’s rights. It is essential to respect the patient’s autonomy and their right to make decisions about their own healthcare.
Choice D rationale
Reminding the patient that a signed informed consent form is a legally binding document is incorrect. Informed consent is not a contract, and the patient has the right to withdraw consent at any time. The purpose of informed consent is to ensure that the patient understands the procedure, its risks and benefits, and alternatives, and makes an informed decision.
Correct Answer is C
Explanation
Choice A rationale
Padding the mattress in a baby’s crib can pose a suffocation risk and is not recommended for crib safety22.
Choice B rationale
Placing a baby on their stomach for sleep, known as prone sleeping, increases the risk of sudden infant death syndrome (SIDS). Babies should always be placed on their back to sleep22.
Choice C rationale
Removing extra blankets from a baby’s crib is a key part of crib safety. Loose bedding can pose a suffocation risk22.
Choice D rationale
Placing a baby’s crib next to a heater could lead to overheating, which is a risk factor for SIDS. It’s important to keep the baby’s sleep environment at a comfortable temperature22.
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