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A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

A.

"You are retaining a lot of sodium and potassium and that causes you to gain water weight"

B.

"Your kidneys are not working correctly, so they can't get rid of extra water from your system"

C.

"The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you."

D.

"You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight."

Answer and Explanation

The Correct Answer is D

A. "You are retaining a lot of sodium and potassium, and that causes you to gain water weight.": SIADH involves dilutional hyponatremia, not retention of sodium and potassium.

B. "Your kidneys are not working correctly, so they can't get rid of extra water from your system.": SIADH results from excessive secretion of antidiuretic hormone (ADH), not kidney dysfunction.

C. "The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you.": SIADH causes water retention, not increased appetite.

D. "You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight.": This accurately explains that excess ADH leads to water retention, causing weight gain.


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Related Questions

Correct Answer is C

Explanation

A. 0730: At this time, the client is eating breakfast, which aligns with the onset of NPH insulin but does not address its peak effect.

B. 1230: This coincides with lunch, which matches the duration of NPH insulin but not the time when hypoglycemia is most likely to occur.

C. 1500: NPH insulin peaks about 4–12 hours after administration. Providing a snack at 1500 helps prevent hypoglycemia during the peak insulin activity.

D. 0900: This time is too early to account for the peak effect of NPH insulin, which usually occurs later in the day.

Correct Answer is D

Explanation

A. Weight gain: Excessive levothyroxine leads to hyperthyroidism, which typically causes weight loss, not gain.

B. Bradycardia: Bradycardia is a symptom of hypothyroidism, not hyperthyroidism from excessive levothyroxine.

C. Decreased temperature: Low body temperature is a sign of hypothyroidism, not hyperthyroidism.

D. Tachypnea: Overdosing on levothyroxine can cause hyperthyroidism, leading to increased metabolic rate and symptoms such as tachypnea.

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