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When teaching a patient with chronic SIADH about long-term management of the disorder, the nurse determines that additional instruction is needed when the patient says:

I should weigh myself daily and report any sudden weight loss or gain."

I need to limit my ﬂuid intake to no more than 1 quart of liquids a day,"

I will eat foods high in potassium because the diuretics cause potassium loss.”

I need to shop for foods that are low in sodium and avoid adding salt to foods.

Answer and Explanation

The Correct Answer is C

The correct answer is c. I will eat foods high in potassium because the diuretics cause potassium loss.

Rationale for Choice A:

Statement: "I should weigh myself daily and report any sudden weight loss or gain."
Rationale: This statement is correct. It's crucial for patients with SIADH to monitor their weight daily as even slight fluctuations can signal fluid imbalances. Sudden weight gain can indicate fluid retention, while sudden weight loss might suggest dehydration. Both scenarios warrant medical attention.

Rationale for Choice B:

Statement: "I need to limit my fluid intake to no more than 1 quart of liquids a day."
Rationale: This statement is also correct. Fluid restriction is a cornerstone of SIADH management. By limiting fluid intake, patients can help prevent the buildup of excess fluid in the body, which can lead to complications such as hyponatremia (low sodium levels in the blood) and edema.

Rationale for Choice C:

Statement: "I will eat foods high in potassium because the diuretics cause potassium loss."
Rationale: This statement is incorrect. While some diuretics used in the treatment of SIADH can indeed cause potassium loss, this is not a universal side effect. Furthermore, increasing potassium intake without medical supervision can be dangerous, potentially leading to hyperkalemia (high potassium levels in the blood). It's essential for patients to consult with their healthcare providers for individualized guidance on potassium intake.

Rationale for Choice D:

Statement: "I need to shop for foods that are low in sodium and avoid adding salt to foods."
Rationale: This statement is correct. A low-sodium diet is often recommended for patients with SIADH to help manage fluid balance and prevent hyponatremia. Restricting sodium intake can reduce fluid retention and help maintain appropriate sodium levels in the blood.

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Correct Answer is C

Explanation

The patient with primary hyperparathyroidism has high levels of calcium in the blood (hypercalcemia) which can lead to symptoms such as kidney stones, bone pain, and weakness. High urine calcium levels may also be present due to the increased calcium in the blood.

One important intervention for managing hypercalcemia is to encourage ﬂuid intake to promote increased urine output and prevent the formation of kidney stones. Therefore, the nurse should encourage the patient to drink at least 4000 ml of ﬂuids per day.

Seizure precautions (a), range-of-motion exercises (b), and monitoring for positive Chvostek’s or Trousseaus sign (d) are not directly related to managing hypercalcemia and are not necessary in this case.

A. Breath sounds. B. abdominal girth. C. Bowel sounds. D. Apical pulse.

Correct Answer is A

Explanation

GERD can increase the risk of aspiration (inhalation of stomach contents into the lungs), which can cause respiratory issues, including abnormal breath sounds. In these cases, monitoring of breath sounds may be more appropriate than monitoring of bowel sounds.

Bowel sounds are not typically monitored for GERD patients as GERD is a condition that aﬀects the esophagus and the stomach, not the intestines. GERD is caused by the reﬂux of stomach contents into the esophagus, which can cause symptoms such as heartburn and regurgitation.

Abdominal girth is not routinely monitored for GERD patients as it is not typically related to the condition. GERD is a disorder that aﬀects the esophagus and stomach and does not typically cause significant changes in abdominal size or girth. In rare cases, GERD can be complicated by a condition known as a para oesophageal hernia, which can cause a visible bulge in the abdomen. In these cases, monitoring of abdominal size and shape may be necessary.

The apical pulse is not routinely monitored for GERD patients as it is not directly related to the condition. GERD is a disorder that aﬀects the digestive system, specifically the esophagus and stomach and does not typically have an impact on heart rate or rhythm.

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When teaching a patient with chronic SIADH about long-term management of the disorder, the nurse determines that additional instruction is needed when the patient says:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with primary hyperparathyroidism has a serum calcium level of 14 mg/dl (3.5 mmol/L), phosphorus of 1.7 mg/dl (55 mmol/L), serum creatinine of 2.2 mg/dl (194 mmol/L). and high urine calcium. While the patient awaits surgery, the nurse should:

Correct Answer is C

Explanation

When admitting a patient with a stroke who is unconscious and unresponsive to stimuli. The nurse learns from the patient’s family that the patient has a history of GERD, the nurse will plan to do frequent assessment of the patient’s:

Correct Answer is A

Explanation

A nurse is teaching nutritional strategies to a client who has a low calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching?

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