The nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is critically ill. Which of the following lab findings requires immediate intervention?

Choice A Reason:

While monitoring the frequency of urination is important for managing diabetes insipidus, it is not the most critical aspect of discharge teaching. Diabetes insipidus causes excessive urination, and patients should be aware of this symptom. However, understanding the importance of wearing a medical alert bracelet is more crucial for ensuring immediate and appropriate care in emergencies.

Choice B Reason:

Changes in appetite are not a primary concern for patients with diabetes insipidus. The condition primarily affects fluid balance and urine output rather than appetite. Therefore, this topic is less relevant compared to the need for a medical alert bracelet.

Choice C Reason:

The benefit of a medical alert bracelet is paramount for patients with diabetes insipidus. In case of an emergency, the bracelet can inform healthcare providers about the patient’s condition, ensuring they receive appropriate and timely treatment. This can be life-saving, especially if the patient is unable to communicate their medical history.

Choice D Reason:

Weight gain or loss can be a secondary concern for patients with diabetes insipidus, as the condition primarily affects fluid balance. While it is important to monitor weight to assess fluid status, it is not as critical as ensuring the patient understands the importance of wearing a medical alert bracelet.

Choice A reason: Exercise

Exercise is a crucial component in the management of peripheral venous disease (PVD). Regular physical activity helps improve blood circulation and reduces symptoms such as pain and swelling. Walking, in particular, is highly recommended as it promotes venous return and enhances overall cardiovascular health. Exercise also helps in weight management, which can alleviate the pressure on the veins and improve symptoms of PVD.

Choice B reason: Elevation of Legs

Elevating the legs is a simple yet effective way to reduce swelling and improve blood flow in patients with PVD1. By raising the legs above the level of the heart, gravity helps to reduce the pooling of blood in the lower extremities, thereby decreasing edema and discomfort. This practice is especially beneficial when done regularly, such as during rest periods or while sleeping.

Choice C reason: Intermittent Pneumatic Compression Pumps

Intermittent pneumatic compression (IPC) pumps are devices used to enhance blood flow in the legs. These devices consist of inflatable sleeves that wrap around the legs and periodically inflate and deflate, mimicking the natural muscle contractions that help push blood back toward the heart. IPC pumps are particularly useful for patients who are immobile or have difficulty engaging in physical activity, as they help prevent blood clots and reduce swelling.

Choice D reason: Ankle-Brachial Index Test

The ankle-brachial index (ABI) test is a diagnostic tool used to assess the severity of peripheral artery disease (PAD), not peripheral venous disease. The test compares the blood pressure in the ankle with the blood pressure in the arm to determine the presence of arterial blockages. While the ABI test is important for diagnosing PAD, it is not a treatment or management strategy for PVD. Therefore, it is not included in the plan of care for PVD.

Choice E reason: Layered Wraps

Layered wraps, also known as compression bandages, are used to manage symptoms of PVD by providing consistent pressure to the legs. These wraps help reduce swelling, improve venous return, and prevent the formation of ulcers. Compression therapy is a cornerstone in the management of chronic venous insufficiency and related conditions, making layered wraps an essential part of the care plan for patients with PVD.