A nurse is collecting data from a client. The provider suspects the client may have the syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)

Osteoarthritis

Lung cancer

Liver cirrhosis

Dyspepsia

Seizures

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Osteoarthritis is a degenerative joint disease and is not associated with SIADH. It does not typically affect the body's regulation of antidiuretic hormone (ADH) or fluid balance.

Choice B reason: Lung cancer, particularly small cell lung cancer, is a common cause of SIADH. Tumor cells can produce and secrete ADH, leading to inappropriate water retention and hyponatremia. Therefore, asking about lung cancer history is important in the assessment.

Choice C reason: The correct answer is c because liver cirrhosis can lead to secondary conditions that may affect fluid balance and ADH secretion. Although not a direct cause of SIADH, liver dysfunction can complicate the clinical picture and contribute to fluid retention issues.

Choice D reason: Dyspepsia, or indigestion, is not related to SIADH and does not typically impact ADH regulation. It is a gastrointestinal issue that does not affect fluid balance.

Choice E reason: The correct answer is e because seizures can be associated with conditions that trigger SIADH. Neurological disorders, including brain injuries and infections, can lead to the inappropriate release of ADH, resulting in fluid retention and hyponatremia.

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Correct Answer is A

Explanation

Choice A reason: The correct answer is a because hyperkalemia, or high serum potassium levels, often leads to peaked T waves on an ECG. A reduction of T wave amplitude indicates that potassium levels are decreasing and the medication is effective.

Choice B reason: P wave duration is not typically affected by hyperkalemia. Changes in the P wave are more commonly associated with atrial abnormalities, not electrolyte imbalances.

Choice C reason: Widening of the QRS complex is a sign of severe hyperkalemia and indicates worsening of the condition. The goal of treatment is to prevent such changes, not to observe them as an indication of effectiveness.

Choice D reason: Restoration of QRS complex amplitude is not a specific indicator of hyperkalemia or its treatment. The focus should be on changes in the T wave and other signs of electrolyte normalization.

A. "Next time you think he needs more medication, call me and I'll push the button." B. "It's a good idea to help make sure your husband can sleep comfortably." C. "Why do you think your husband needs more medication when he is asleep?" D. "Your husband should decide when more medication is needed."

Correct Answer is D

Explanation

Choice A reason: Telling the partner to call the nurse to push the button is not appropriate. PCA is designed to allow the client to self-administer pain medication based on their own perception of pain. Only the client should press the button to avoid the risk of over-sedation and respiratory depression.

Choice B reason: Encouraging the partner to press the button while the client is asleep can lead to over-medication and serious complications such as respiratory depression.

Choice C reason: Asking the partner why they think more medication is needed when the client is asleep does not address the underlying issue of inappropriate use of the PCA pump.

Choice D reason: The correct answer is d because the client should be the one to decide when more medication is needed. This ensures that the client receives the appropriate amount of pain relief based on their individual needs and prevents the risk of over-sedation.

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A nurse is collecting data from a client. The provider suspects the client may have the syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is collecting data from a client. The provider suspects the client may have the syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)