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.

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A rationale

A biopsy is not typically prescribed for plantar warts unless there is suspicion of a more serious condition, such as cancer.

Choice B rationale

Soaking feet in an antiseptic solution daily is not a standard treatment for plantar warts. Standard treatments include salicylic acid, cryotherapy (freezing), and other methods.

Choice C rationale

Plantar warts are not directly related to excessive foot perspiration. They are caused by the human papillomavirus (HPV) entering a cut or break in the skin.

Choice D rationale

Plantar warts may cause discomfort during walking due to their location on the soles of the feet.

A. The patient’s legs are not swollen. B. The patient reports an improvement in mood. C. The patient’s blood pressure is within the expected range. D. The patient reports a recent weight loss.

Correct Answer is B

Explanation

Choice A rationale

While swelling in the legs can be a side effect of some medications, it is not a measure of the effectiveness of sertraline. Sertraline is an antidepressant, and its effectiveness would be measured by improvements in mood and behavior.

Choice B rationale

An improvement in mood is a key indicator that the sertraline is effective. Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other mood disorders. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.

Choice C rationale

While it’s important to monitor blood pressure in patients taking any medication, a blood pressure within the expected range is not specifically an indication of the effectiveness of sertraline.

Choice D rationale

Weight loss is not a primary indicator of the effectiveness of sertraline. While some patients may experience weight changes while taking this medication, it is not a measure of its effectiveness in treating depression or other mood disorders.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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