A client with chronic syndrome of inappropriate antidiuretic hormone (SIADH) reports to the nurse of being constantly thirsty. Which action should the nurse take?

Provide the client with additional oral fluids of her preference.

Measure the client's capillary glucose reading at regular intervals.

Encourage the client to use hard candy frequently to help relieve thirst.

Withhold the next diuretic dose until contacting the healthcare provider.

Answer and Explanation

The Correct Answer is D

Choice A reason: Providing additional oral fluids is not appropriate for SIADH and can worsen fluid retention.

Choice B reason: Measuring glucose levels is important for diabetes management but not directly related to SIADH.

Choice C reason: Using hard candy may help relieve thirst but does not address the underlying issue of fluid retention in SIADH.

Choice D reason:

The correct answer is d) because withholding diuretics and contacting the healthcare provider is necessary to manage the fluid balance in clients with SIADH.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because medications like colchicine and indomethacin can affect liver function, and periodic liver function studies are necessary to monitor for potential side effects.

Choice B reason: Massaging inflamed joints is not recommended as it can worsen inflammation.

Choice C reason: Substituting fruit juices for carbonated drinks is good dietary advice but not the most critical instruction.

Choice D reason: Limiting the use of mobility equipment is not relevant to managing gout and preventing complications.

A. Teach the client to use pursed lip breathing when episodes occur. B. Determine if the client is using an inhaler before exercising. C. Assess the client for signs and symptoms of upper airway infection. D. Review the client's routine asthma management prescriptions.

Correct Answer is B

Explanation

Choice A reason: Teaching the client to use pursed lip breathing is helpful for managing breathing difficulties, but it is not the first action to address exercise-induced bronchoconstriction.

Choice B reason:

The correct answer is b) because determining if the client is using an inhaler before exercising is crucial to prevent bronchoconstriction and manage asthma symptoms effectively.

Choice C reason: Assessing for signs and symptoms of upper airway infection is important but is not directly related to exercise-induced bronchoconstriction.

Choice D reason: Reviewing the client's routine asthma management prescriptions is important but should come after addressing the immediate concern of exercise-induced symptoms.

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A client with chronic syndrome of inappropriate antidiuretic hormone (SIADH) reports to the nurse of being constantly thirsty. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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