Which priority Intervention should the nurse implement for the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
Maintain the prescribed daily fluid restriction.
Position the client's head of bed with no more than 10 degrees of elevation.
Turn and reposition the client every 2 hours while on bedrest.
Provide frequent oral hygiene every 2 hours for the client.
The Correct Answer is A
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Overproduction of parathormone by the parathyroid gland is related to hyperparathyroidism, not Addison's disease.
B. Lack of insulin production by the pancreas is related to diabetes mellitus, not Addison's disease.
C. Addison's disease is caused by insufficient production of aldosterone and cortisol by the adrenal glands.
D. Overproduction of growth hormone by the pituitary gland is related to conditions like acromegaly, not Addison's disease.
Correct Answer is B
Explanation
A. Decreased urine osmolality is not consistent with SIADH; urine osmolality is typically increased due to concentrated urine.
B. Decreased serum osmolality is a hallmark of SIADH due to excess water retention diluting the serum.
C. Decreased urinary sodium is not typical in SIADH; urinary sodium is usually increased due to the excretion of concentrated urine.
D. Increased serum sodium is not consistent with SIADH; serum sodium is typically decreased due to dilutional hyponatremia.
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