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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. A urinary tract infection is a common cause of urinary incontinence in children and should be evaluated first.
Choice B reason: While emotional trauma can cause changes in behavior, including incontinence, it is not the first complication to be evaluated in this scenario.
Choice C reason: Sexual abuse can result in behavioral changes, but there is no immediate indication of this being the cause without further assessment.
Choice D reason: A structural defect of the urinary tract could cause incontinence, but it is less likely to be the cause of a sudden onset of symptoms compared to a urinary tract infection.
Correct Answer is B
Explanation
Choice A reason: Fasciitis, inflammation of the fascia, could cause pain and possibly edema, but it typically does not cause fever.
Choice B reason: Compartment syndrome is a serious condition where increased pressure within the muscles can lead to muscle and nerve damage as well as problems with blood flow. Pain, edema, and fever could be signs of this condition, especially in a limb that is in traction.
Choice C reason: Osteochondrosis refers to a group of disorders that affect the growth of bones in children and adolescents. While it can cause pain, it does not typically cause edema or fever.
Choice D reason: Osteomyelitis, an infection in the bone, could cause pain, edema, and fever. However, the acute onset of symptoms in a limb under traction is more indicative of compartment syndrome. Osteomyelitis typically has a more gradual onset.
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