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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Clients are usually kept NPO before a kidney biopsy to reduce risk of aspiration if sedation is used.
B. Informed consent is necessary before invasive procedures like a biopsy.
C. Coagulation studies are important to assess bleeding risk before the biopsy.
D. A urine specimen is obtained to check for baseline hematuria or infection.
E. Diphenhydramine is not routinely given before a kidney biopsy unless there is a known allergy or reaction risk.
Correct Answer is C
Explanation
A. Clients with meningitis may experience confusion or altered mental status, so being fully oriented is less common.
B. Blurred vision is not a typical early sign of meningitis.
C. Severe headache is a common and expected symptom of meningitis due to inflammation of the meninges.
D. Bradycardia is not typical; tachycardia is more common due to infection and fever.
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