Which nursing intervention is appropriate for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

Encouraging the client to increase fluid intake

Encouraging the client to consume a low-sodium diet

Administering IV hypertonic saline

Restricting fluid intake

Answer and Explanation

The Correct Answer is D

. Increasing fluid intake would worsen fluid retention in SIADH.
B. A low-sodium diet is not indicated as it could exacerbate hyponatremia.
C. IV hypertonic saline is used in severe cases of hyponatremia but requires careful monitoring.
D. Restricting fluid intake is the primary intervention to prevent further dilution of sodium and manage SIADH effectively.

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Correct Answer is A

Explanation

A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.

A. Dilute urine B. Hypotension C. Ataxia D. Poor skin turgor

Correct Answer is C

Explanation

A. Dilute urine is a primary symptom of DI but not a neurologic effect.
B. Hypotension is a cardiovascular effect of DI due to excessive fluid loss.
C. Ataxia, or lack of muscle coordination, can occur due to severe dehydration and electrolyte imbalances affecting the nervous system in DI.
D. Poor skin turgor indicates dehydration but is not a neurologic effect.

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Which nursing intervention is appropriate for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

Correct Answer is A

Explanation

A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurologic effects?

Correct Answer is C

Explanation

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