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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Drinking a full glass of water after taking the medication is a good practice when taking calcium carbonate antacids. This helps to ensure that the medication is fully swallowed and reaches the stomach, where it can neutralize stomach acid.
Choice B rationale
Limiting sodium intake is not directly related to the use of calcium carbonate antacids. While a low-sodium diet may be recommended for other health reasons, it is not a specific recommendation for patients taking this medication.
Choice C rationale
Consuming the medication alongside dairy products to enhance absorption is not recommended. Calcium carbonate antacids can interact with dairy products, potentially leading to an excessive intake of calcium.
Choice D rationale
Reducing dietary fiber to counteract the potential side effect of diarrhea is not a typical recommendation for patients taking calcium carbonate antacids. While calcium carbonate can cause constipation in some people, it does not typically cause diarrhea.
Correct Answer is C
Explanation
Choice A rationale
Recording that the nurse was unable to take the patient’s temperature would not be the most appropriate action in this situation. The nurse can wait for a certain period of time and then take the patient’s temperature.
Choice B rationale
Continuing to take the oral temperature immediately after the patient has consumed ice chips could result in an inaccurately low temperature reading. The cold from the ice chips can temporarily lower the temperature in the mouth.
Choice C rationale
Waiting for 30 minutes and then returning to take the oral temperature is the most appropriate action. Consuming cold substances can lower the oral temperature temporarily, so it’s recommended to wait 15-30 minutes after the patient has consumed something cold before taking an oral temperature.
Choice D rationale
Giving the patient a sip of warm water, waiting for 5 minutes, and then taking the temperature is not the standard procedure. While it might help to normalize the temperature in the mouth more quickly, it’s generally recommended to wait at least 15-30 minutes after the patient has consumed something cold before taking an oral temperature.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.