A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

3% sodium chloride

0.99% sodium chloride

Dextrose 59% in 0.99% sodium chloride

Dextrose 5% in 0.45% sodium chloride

Answer and Explanation

The Correct Answer is A

A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.

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Correct Answer is D

Explanation

. Increasing fluid intake would worsen fluid retention in SIADH.
B. A low-sodium diet is not indicated as it could exacerbate hyponatremia.
C. IV hypertonic saline is used in severe cases of hyponatremia but requires careful monitoring.
D. Restricting fluid intake is the primary intervention to prevent further dilution of sodium and manage SIADH effectively.

A. Photophobia B. Bradycardia C. Hypotension D. Polyuria

Correct Answer is A

Explanation

A. Photophobia, or sensitivity to light, is a classic symptom of meningitis.
B. Bradycardia is not commonly associated with meningitis.
C. Hypotension is not a classic symptom of meningitis.
D. Polyuria is not associated with meningitis.

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A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is appropriate for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

Correct Answer is D

Explanation

A nurse is assessing a client with suspected meningitis. Which of the following findings would the nurse identify as a classic manifestation of meningitis?

Correct Answer is A

Explanation

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A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

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