A nurse is caring for a patient who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. What prescription should the nurse anticipate?

Provide a diet containing 2 g of sodium per day.

Administer desmopressin acetate 0.2 mg orally.

Restrict fluid intake to 1,000 mL per day.

Maintain an IV of 0.45% sodium chloride.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Providing a diet containing 2 g of sodium per day is not typically part of the treatment for SIADH. In fact, increasing sodium intake could potentially worsen hyponatremia, a common condition in SIADH7.

Choice B rationale

Administering desmopressin acetate 0.2 mg orally is not typically part of the treatment for SIADH. Desmopressin is a synthetic form of ADH, and administering this medication could potentially worsen the symptoms of SIADH, which is characterized by an overproduction of ADH7.

Choice C rationale

Restricting fluid intake to 1,000 mL per day is often part of the treatment for SIADH. This helps to correct the imbalance of water in the body, which is a common issue in SIADH8.

Choice D rationale

Maintaining an IV of 0.45% sodium chloride is not typically part of the treatment for SIADH. This type of IV fluid is hypotonic, meaning it has a lower concentration of solutes (like sodium) than the blood. This could potentially worsen the hyponatremia seen in SIADH7.

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Correct Answer is ["B","E"]

Explanation

Choice A rationale: CNS manifestations such as headaches are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin, a gonadotropin-releasing hormone (GnRH) agonist, works by reducing the production of estrogen in the body. This can lead to a variety of side effects, including headaches. While these side effects can be bothersome, they do not indicate that the medication is effectively treating the endometriosis.

Choice B rationale: The reduction in pain level during sexual intercourse, or dyspareunia, is a therapeutic effect of nafarelin. Endometriosis can cause painful sexual intercourse, and one of the goals of treatment with nafarelin is to reduce this pain. The client’s report of decreased dyspareunia suggests that the nafarelin is effectively treating the endometriosis.

Choice C rationale: Changes in the nasal mucosa, such as irritation, are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin is administered intranasally, which can lead to irritation of the nasal mucosa. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.

Choice D rationale: Changes in breast size are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including changes in breast size. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.

Choice E rationale: The absence of menstruation, or amenorrhea, is a therapeutic effect of nafarelin. Nafarelin works by reducing the production of estrogen in the body, which can lead to a temporary halt in menstruation. This is a therapeutic effect as it can help to reduce the pain and other symptoms associated with endometriosis.

Choice F rationale: Dermatological manifestations such as increased acne are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including increased acne. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.

A. Serve foods that have a hot/cold balance. B. Remove tea and coffee from meal trays. C. Serve milk products separately from meals. D. Request a meal tray without pork.

Correct Answer is D

Explanation

When caring for a patient who practices Islam, the nurse should request a meal tray without pork. Dietary laws in Islam, known as halal, prohibit the consumption of pork.

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A nurse is caring for a patient who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. What prescription should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","E"]

Explanation

A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

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