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.
The Correct Answer is C
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: Offering hard candy stimulates saliva production and soothes oral mucosa, providing relief of dry mouth and the perception of thirst without adding significant fluid volume, thereby supporting strict fluid restriction in SIADH management.
Choice D reason:
Withholding a prescribed diuretic without a clear order can disrupt the therapeutic plan, exacerbate fluid retention, and falls outside the nurse’s scope; diuretic adjustments should only follow provider directions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Demonstrating accurate eye care is important but is not a measurable outcome for managing diabetes.
Choice B reason: Managing blood pressure is important but not the primary goal in the context of newly diagnosed diabetes.
Choice C reason:
The correct answer is c) because achieving a hemoglobin A1C of less than 7% in 3 months is a measurable and relevant outcome for managing type 2 diabetes. It indicates good glycemic control and helps prevent complications.
Choice D reason: Encouraging physical activity is beneficial but is not a specific measurable outcome for diabetes management.
Correct Answer is B
Explanation
Choice A reason: While being fair-skinned and older increases risk, exposure to UV radiation is a significant factor.
Choice B reason:
The correct answer is b) because a fair-skinned client who works outdoors (construction worker) has higher exposure to UV radiation, increasing the risk of skin cancer.
Choice C reason: Having a family history of skin cancer is a risk factor, but dark-skinned individuals have lower risk compared to fair-skinned individuals with high UV exposure.
Choice D reason: Tanning bed use increases risk, but fair-skinned individuals with prolonged UV exposure have a higher overall risk.
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