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
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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Related Questions
Correct Answer is B
Explanation
. Osteoarthritis is not associated with the development of SIADH.
B. Lung cancer, particularly small cell lung cancer, is a common cause of SIADH due to ectopic production of antidiuretic hormone.
C. Dyspepsia is not related to SIADH.
D. Liver cirrhosis can cause fluid retention but is not typically linked to SIADH.
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.
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