Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should include which of the following?
Maintain the child NPO (nothing by mouth).
Encourage fluids.
Restrict fluids.
Turn frequently.
The Correct Answer is C
Choice A reason: Maintaining the child NPO is not necessary unless there are other medical reasons for doing so.
Choice B reason: Encouraging fluids is contraindicated in SIADH as it can exacerbate fluid overload.
Choice C reason: This is the correct choice. Fluid restriction is a key component of managing SIADH to prevent further dilutional hyponatremia.
Choice D reason: Turning frequently is important for all hospitalized patients to prevent pressure ulcers but is not specific to the management of SIADH.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Feeding the toddler is important, but it does not specifically address the development of autonomy or decision-making skills.
Choice B reason: Dressing the toddler is a necessary task, but it does not encourage the child's active participation or independence.
Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of control and independence, which is developmentally appropriate and empowering for the toddler.
Choice D reason: Asking the toddler if he would like to take his medicine is a good practice to involve the child in their care, but it is not as impactful on development as offering choices that promote autonomy.
Correct Answer is C
Explanation
Choice A reason: LTB, also known as croup, is not primarily caused by Haemophilus influenzae type B.
Choice B reason: Bronchiolitis is typically caused by viruses such as RSV, not Haemophilus influenzae type B.
Choice C reason: This is the correct choice. The Hib vaccine is effective in preventing epiglottitis, which can be caused by Haemophilus influenzae type B.
Choice D reason: While Hib can cause pneumonia, the vaccine is specifically known for its role in preventing invasive diseases like epiglottitis.
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