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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rapid shallow breathing: In diabetic ketoacidosis (DKA), breathing is typically deep and rapid (Kussmaul respirations) as the body attempts to correct acidosis by exhaling CO₂.
B. Clammy skin: Clammy skin is a sign of hypoglycemia, not DKA.
C. Rapid pulse: While a rapid pulse may occur due to dehydration in DKA, it is not a defining characteristic.
D. Polydipsia: Excessive thirst is a hallmark symptom of DKA due to significant fluid losses and dehydration caused by hyperglycemia-induced osmotic diuresis.
Correct Answer is C
Explanation
A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.
B. "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month.": Unused insulin vials should be stored properly (refrigerated for unopened vials) and do not need to be returned unless there is an error or expired stock.
C. "I can keep the current vial of insulin in use stored at room temperature.": Once opened, insulin vials can be stored at room temperature (below 86°F or 30°C) for up to 28 days to prevent degradation.
D. "I will store unopened vials of insulin in the freezer.": Freezing insulin damages its effectiveness; unopened insulin should be refrigerated but never frozen.
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