A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following interventions should the nurse implement?

Fluid resuscitation

Fluid restriction

Administer desmopressin

Sodium restriction

Answer and Explanation

The Correct Answer is B

A. Fluid resuscitation is not appropriate for SIADH, where the issue is fluid retention, not loss.
B. Fluid restriction. SIADH causes excess release of antidiuretic hormone, leading to water retention and dilutional hyponatremia. Restricting fluids helps to correct the sodium imbalance.
C. Desmopressin is an ADH analog and is used in diabetes insipidus, not SIADH.
D. Sodium restriction would worsen hyponatremia in SIADH and is contraindicated.

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Correct Answer is A

Explanation

A. Inability to recognize family members (prosopagnosia) is associated with right hemisphere strokes, which can affect visual and spatial awareness and cause difficulties with recognizing people and objects.
B. Difficulty reading is more commonly associated with left hemisphere involvement.
C. Aphasia (language impairment) typically occurs with left hemisphere strokes since language centers are usually located there.
D. Right hemiparesis would result from a left hemisphere stroke; right hemisphere stroke more commonly causes left-sided weakness.

A. Weight loss B. Hyponatremia C. Polyuria D. Increased thirst

Correct Answer is B

Explanation

A. Weight loss is not typical in SIADH; instead, fluid retention often leads to weight gain.
B. SIADH causes excessive release of antidiuretic hormone, leading to water retention and dilutional hyponatremia (low sodium levels).
C. Polyuria (increased urine output) is not seen in SIADH; instead, clients usually have oliguria or decreased urine output.
D. Increased thirst is more associated with diabetes insipidus, not SIADH, where water retention decreases thirst.

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A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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