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.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to communicate any concerns to the primary care provider, this response does not provide immediate reassurance or information to the mother about her newborn’s crossed eyes.
Choice B rationale
This is the most therapeutic response. It provides factual information that can reassure the mother. Newborns often lack the muscle control to regulate eye movement, which can result in temporary crossing of the eyes.
Choice C rationale
Taking the baby to the nursery for further examination may cause unnecessary worry for the mother. It’s better to provide reassurance and education first.
Choice D rationale
This response may cause unnecessary worry for the mother. Strabismus, or constant misalignment of the eyes, is not typically seen in newborns and would require treatment. However, temporary crossing of the eyes due to lack of muscle control is normal. Propranolol Propranolol Explore
Correct Answer is C
Explanation
Choice A rationale
Encouraging self-care is important, but it may not be the immediate priority if the patient is exhibiting manic behavior and has recently experienced significant personal stressors.
Choice B rationale
Assisting the patient in identifying coping behaviors is a key part of treatment, but it may not be the immediate priority if the patient is at risk of self-harm.
Choice C rationale
Preventing self-directed violence is the priority action. Patients exhibiting manic behavior may have impaired judgment and impulse control, putting them at risk of self-harm.
Choice D rationale
Identifying support systems is important, but it may not be the immediate priority if the patient is at risk of self-harm.
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