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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","F"]
Explanation
A. Close contact with an infected person increases the risk of transmission of meningitis.
B. Regular handwashing is a preventive measure, not a risk factor.
C. Immunization against meningococcal disease is a preventive measure, not a risk factor.
D. Consuming unpasteurized dairy products is more associated with listeriosis than meningitis.
E. Living in crowded conditions facilitates the spread of infectious agents causing meningitis.
F. Poor hygiene practices can increase the risk of contracting infections, including meningitis.
Correct Answer is C
Explanation
A. Muscle hypertrophy is not associated with hypercortisolism; muscle wasting is more common.
B. A butterfly rash on the face is indicative of lupus, not hypercortisolism.
C. Moon face, or the round, puffy face, is a common manifestation of hypercortisolism (Cushing's syndrome).
D. A positive Chvostek's sign indicates hypocalcemia, not hypercortisolism.
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