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.
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Correct Answer is A
Explanation
A. Sweat chloride test: The sweat chloride test is the gold standard for diagnosing cystic fibrosis. A high level of chloride in the sweat confirms the diagnosis, as individuals with cystic fibrosis have defective chloride channels that result in excessive chloride and sodium in their sweat.
B. A stool fat content analysis: While stool fat content analysis can indicate malabsorption issues, which are common in cystic fibrosis, it does not definitively diagnose the condition. It is more useful for evaluating pancreatic function.
C. A sputum culture: A sputum culture can identify specific respiratory infections common in cystic fibrosis patients, such as Pseudomonas aeruginosa, but it does not diagnose the underlying condition.
D. Pulmonary function tests: Pulmonary function tests can assess lung function and help monitor the progression of cystic fibrosis, but they do not confirm the diagnosis.
Correct Answer is A
Explanation
A. Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm is typically associated with inflammation, edema, and excess mucus production in the airways, which leads to narrowing of the airways and difficulty in breathing. This trio of factors contributes to the obstruction of airflow seen in asthma.
B. Inflammation is reduced due to airway diameter: Inflammation is not reduced in bronchospasm; in fact, inflammation is increased. It is the swelling and narrowing of the airways that contribute to the symptoms of asthma, not a reduction of inflammation.
C. Decreased mucus production contributes to airway constriction: In asthma, there is typically increased, not decreased, mucus production, which contributes to airway obstruction and exacerbates bronchospasm.
D. Airway obstruction occurs due to thinning mucus: Airway obstruction in asthma is due to thickened mucus, inflammation, and edema, not thinning mucus. The mucus becomes sticky and blocks the airways, making breathing difficult.
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