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 ["325"]

Explanation

Total fluid volume for 24 hours = 5,200 mL

First 8-hour period = receive half of total volume
5,200 ÷ 2 = 2,600 mL

Time = 8 hours

Calculation:

2,600 mL ÷ 8 hr = 325 mL/hr

Answer: 325 mL/hr

A. Open the airway using a jaw-thrust maneuver. B. Determine effectiveness of ventilator efforts. C. Establish IV access. D. Perform a Glasgow Coma Scale assessment. E. Remove clothing for a thorough assessment.

Correct Answer is ["A","B","C","D","E"]

Explanation

A (Airway): Open the airway using a jaw-thrust maneuver is the first action to ensure the airway is patent, especially important in trauma to avoid cervical spine injury.

B (Breathing): Determine effectiveness of ventilator efforts comes next to assess if the client is ventilating adequately.

C (Circulation): Establish IV access is part of restoring and maintaining circulation, allowing for fluid resuscitation or medication administration.

D (Disability): Perform a Glasgow Coma Scale assessment evaluates neurological function to determine the level of consciousness.

E (Exposure): Remove clothing for a thorough assessment ensures the nurse can identify all injuries and prevent missing any life-threatening conditions.

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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

Correct Answer is ["325"]

Explanation

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Correct Answer is ["A","B","C","D","E"]

Explanation

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