A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?
"You are retaining a lot of sodium and potassium and that causes you to gain water weight"
"Your kidneys are not working correctly, so they can't get rid of extra water from your system"
"The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you."
"You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is B
Explanation
A. "Examine your feet carefully every day.": Daily foot exams are crucial to prevent complications like infections, but controlling blood glucose is more important for preventing retinopathy and neuropathy.
B. "Maintain stable blood glucose levels.": Tight glucose control is the most critical action to reduce the risk of long-term complications, such as retinopathy and neuropathy.
C. "Wear closed-toed shoes daily.": This protects the feet but does not address the root cause of neuropathy and retinopathy.
D. "Plan to have an eye examination once per year.": Annual eye exams are essential for detecting retinopathy early, but stable blood glucose levels are the key to preventing its development.
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