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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 A

Explanation

acromegaly typically causes an enlargement of the hands and feet. The nurse can inquire if the patient has noticed any changes in shoe size, as this may indicate abnormal growth.

"Are you experiencing tremors or anxiety" is not directly related to acromegaly, and although anxiety can be associated with some medical conditions, it is not a typical symptom of acromegaly.

"Is there any family history of acromegaly?" is also a relevant question, as acromegaly can be caused by a genetic disorder. If the patient has a family history of the condition, this may increase their risk of developing it.

"Have you had a recent head injury?" is not specifically related to acromegaly, although head trauma can cause a variety of medical conditions.

Overall, option a. is the most relevant question to ask a patient with suspected acromegaly.

A. I Will add broccoli and kale to my diet." B. I will stop taking my calcium supplements if they irritate my stomach." C. I need to avoid foods with vitamin D because I am allergic to milk. D. I will eat more cheese because I can't drink milk.

Correct Answer is A

Explanation

Broccoli and kale are good sources of calcium, and by adding them to their diet, the client can increase their calcium intake without consuming milk. It is important to note that some calcium supplements may irritate the stomach but stopping them altogether is not advisable without consulting a healthcare provider. Vitamin D is not a milk product, and it is essential for calcium absorption. Avoiding foods with vitamin D can worsen the low calcium levels. Cheese is a milk product and may not be suitable for someone with a milk allergy.

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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 suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask?

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?

Correct Answer is A

Explanation

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