Which of the following is an expected finding in a client with syndrome of inappropriate antidiuretic hormone (SIADH)
Hypertension
Polyuria
Concentrated urine
Hypernatremia
The Correct Answer is C
A. Hypertension is not a typical finding in SIADH; fluid retention may lead to slight increases in blood pressure but not significant hypertension.
B. Polyuria is not expected in SIADH; decreased urine output is more common.
C. Concentrated urine is expected in SIADH due to excessive reabsorption of water.
D. Hypernatremia is not expected in SIADH; hyponatremia due to dilution of sodium is more common.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. Maintaining the prescribed daily fluid restriction is crucial to manage hyponatremia and prevent further complications.
B. Head elevation is important but not the primary priority in SIADH management.
C. Turning and repositioning is necessary for bedrest patients but not specific to SIADH.
D. Providing oral hygiene is important for overall care but not the primary intervention for SIADH.
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