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 B

Explanation

A. Weight gain, not weight loss, is a characteristic feature of Cushing's syndrome.
B. Hyperglycemia is common in Cushing's syndrome due to increased cortisol levels.
C. Hypertension, not hypotension, is common in Cushing's syndrome due to fluid retention.
D. Hypokalemia, not hyperkalemia, is common in Cushing's syndrome due to increased aldosterone levels.

Correct Answer is ["22.6"]

Explanation

To calculate the IV pump setting, first convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client weighs 166 pounds, which is approximately 75.45 kilograms. Next, calculate the dosage in units per hour by multiplying the client's weight in kilograms by the ordered dosage of 15 units/kg/hr, which equals 1131.75 units/hr. Since Heparin is available as 25,000 units in 500 ml, divide the total units in the bag by the volume to find the concentration, which is 50 units/ml. Finally, divide the dosage required per hour by the concentration to find the volume to be administered per hour. Therefore, the IV pump should be set to approximately 22.6 ml/hr, rounding to the nearest tenth.

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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

Which of the following is a characteristic feature of Cushing's syndrome?

Correct Answer is B

Explanation

The physician has ordered your client to receive Heparin at 15 u/kg/hr. Heparin is available as 25,000 units in 500 ml. Your client weighs 166 pounds. Calculate how many ml/hr to set the IV pump. Round answer to nearest tenth.

Correct Answer is ["22.6"]

Explanation

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