A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings are manifestations of hyponatremia?
(Select All that Apply.)
Urine specific gravity of 1.010 (1.005 - 1.03)
Respiratory alkalosis
Diarrhea
Confusion
Diminished reflexes
Correct Answer : D,E
A. Urine specific gravity of 1.010 (1.005 - 1.03): A urine specific gravity of 1.010 is within the normal range and does not indicate the concentrated urine typically seen in SIADH. Therefore, it is not associated with hyponatremia in SIADH.
B. Respiratory alkalosis: Respiratory alkalosis is related to an imbalance in carbon dioxide levels, not directly to sodium levels. It is not a manifestation of hyponatremia or SIADH.
C. Diarrhea: Diarrhea is not a direct manifestation of hyponatremia. While it can cause electrolyte imbalances, hyponatremia in SIADH is more related to water retention and dilution of sodium.
D. Confusion: Confusion is a common neurological symptom of hyponatremia due to the osmotic imbalance affecting brain cells. This is often seen in clients with SIADH as low sodium levels affect brain function.
E. Diminished reflexes: Diminished reflexes can occur in hyponatremia as it affects neuromuscular function, leading to decreased responsiveness of the nervous system. This can be observed in clients with SIADH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Chronic cough: Chronic cough is a hallmark symptom of COPD. It results from inflammation and increased mucus production in the airways, leading to a persistent cough that often produces sputum.
B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.
C. Dyspnea: Dyspnea, or shortness of breath, is a primary symptom of COPD. It occurs due to airflow limitation and reduced lung capacity, making it difficult for the patient to breathe, especially during physical activity.
D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.
E.
A. Chronic cough: Chronic cough is a hallmark symptom of COPD. It results from inflammation and increased mucus production in the airways, leading to a persistent cough that often produces sputum.
B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.
C. Dyspnea: Dyspnea, or shortness of breath, is a primary symptom of COPD. It occurs due to airflow limitation and reduced lung capacity, making it difficult for the patient to breathe, especially during physical activity.
D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.
E. Chest tightness: Chest tightness is also a common symptom of COPD, reflecting the discomfort and difficulty in breathing caused by the constriction and inflammation of the airways.
Correct Answer is B
Explanation
A. Maintain oxygen saturations greater than or equal to 92%: Maintaining oxygen saturation is important but is not the immediate priority. The symptoms suggest a possible myocardial infarction (heart attack), and the primary focus should be on immediate diagnostic assessment and treatment.
B. Obtain an EKG: The symptoms described (pain in the jaw, back, and shoulder, along with shortness of breath and nausea) are classic signs of a myocardial infarction. An EKG is essential to quickly diagnose this potentially life-threatening condition and guide further treatment.
C. Administer enteric-coated acetaminophen: Acetaminophen is typically used for pain relief or fever reduction, not for the treatment of symptoms that may indicate a heart attack. It does not address the potential underlying cause, which is more serious.
D. Administer ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may provide pain relief but is not appropriate for a suspected myocardial infarction. NSAIDs can also potentially increase the risk of cardiovascular events and would not be suitable in this context.
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