A nurse is collecting the medical history of a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?

Dyspepsia

Lung cancer

Liver cirrhosis

Osteoarthritis

Answer and Explanation

The Correct Answer is B

A. Dyspepsia — This refers to indigestion and is not associated with the development of SIADH.
B. Lung cancer — Particularly small cell lung cancer is a common cause of SIADH due to ectopic production of antidiuretic hormone (ADH).
C. Liver cirrhosis — While cirrhosis can affect fluid balance, it is not a primary cause of SIADH.
D. Osteoarthritis — This condition is unrelated to the secretion or regulation of ADH and is not linked to SIADH.

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Correct Answer is D

Explanation

A. Instruct the client to avoid caffeinated beverages and alcohol — This is helpful in managing symptoms but not the immediate priority.
B. Encourage the client to increase oral fluid intake to 2–3 liters per day — This supports urinary tract health but does not address the active infection directly.
C. Educate the client on proper perineal hygiene and wiping technique — Important for prevention of future infections, but not the most urgent need at this time.
D. Administer the prescribed antibiotic as ordered —The client has clinical signs of a urinary tract infection (UTI) supported by urinalysis findings (positive nitrites and leukocyte esterase). Prompt antibiotic therapy is the priority to relieve symptoms, prevent progression, and treat the infection effectively.

A. The client has positioned the arm above heart level. B. The client has refrained from smoking for at least eight hours. C. The client has consumed adequate fluids the day prior D. The client has rested quietly for 5 minutes before the reading is taken

Correct Answer is D

Explanation

A. The client has positioned the arm above heart level — For an accurate blood pressure reading, the arm should be at heart level. Placing it above the heart can yield a falsely low reading.
B. The client has refrained from smoking for at least eight hours — While avoiding smoking before a BP reading is important, the recommended timeframe is at least 30 minutes, not eight hours.
C. The client has consumed adequate fluids the day prior — Hydration is important for general health, but it does not directly ensure BP accuracy during a reading.
D. The client has rested quietly for 5 minutes before the reading is taken — Resting quietly for at least 5 minutes in a seated position with feet flat and back supported is essential for an accurate BP measurement. Movement or recent activity can temporarily elevate BP and distort the results.

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A nurse is collecting the medical history of a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client has come to the clinic for a follow-up assessment that will include a BP reading. To ensure an accurate reading, the nurse confirms that the client has performed which action?

Correct Answer is D

Explanation

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