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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A decrease in urine output indicates that vasopressin is effectively reducing the excessive urine production in diabetes insipidus.
B. Vasopressin does not affect blood sugar levels.
C. A decrease in specific gravity would indicate more dilute urine, not an effective treatment outcome for diabetes insipidus.
D. A decrease in blood pressure is not a desired effect of vasopressin therapy in diabetes insipidus.
Correct Answer is B
Explanation
A. Desmopressin is used to treat diabetes insipidus, not SIADH.
B. Fluid restriction is a primary treatment to manage low sodium levels in SIADH.
C. 0.45% sodium chloride is hypotonic and not typically used in SIADH treatment.
D. Increasing dietary sodium alone is not sufficient; fluid restriction is more critical
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.