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
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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Related Questions
Correct Answer is C
Explanation
A. A balanced diet with adequate carbohydrates is important for managing Addison's disease; a low-carbohydrate diet is not recommended.
B. Restricting fluid intake is not appropriate for Addison's disease; adequate fluid intake is necessary.
C. Administering oral corticosteroids is crucial to replace the deficient cortisol levels and prevent Addisonian crisis.
D. While daily weight monitoring is important, administering corticosteroids addresses the immediate risk of crisis.
Correct Answer is C
Explanation
A. Viral infections can trigger Guillain-Barré syndrome but are not the primary cause.
B. There is no strong evidence of genetic predisposition being the primary cause.
C. Guillain-Barré syndrome is primarily caused by an autoimmune response where the body's immune system attacks the peripheral nerves.
D. Trauma or injury is not the primary cause of Guillain-Barré syndrome.
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