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 A

Explanation

A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.

A. Viral infection B. Genetic predisposition C. Autoimmune response D. Trauma or injury

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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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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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

Which of the following is the primary etiology of Guillain-Barré syndrome?

Correct Answer is C

Explanation

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

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?

Which of the following is a characteristic feature of Cushing's syndrome?

What is the initial treatment for Guillain-Barré syndrome?

Give Nitroprusside 0.5 mcg/kg/min. The client weighs 176 lbs. The drug is available as 500mg in 500 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Round your answer to the nearest tenth and include the units of measure.)

Which of the following is a common complication of Guillain-Barre syndrome?

Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Which of the following are clinical manifestations of Guillain-Barré syndrome? (Select all that apply)