A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

3% sodium chloride

0.99% sodium chloride

Dextrose 59% in 0.99% sodium chloride

Dextrose 5% in 0.45% sodium chloride

Answer and Explanation

The Correct Answer is A

A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.

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Correct Answer is C

Explanation

A. Hypernatremia is not characteristic of SIADH; hyponatremia is more common.
B. Increased urine output is not seen in SIADH; rather, there is decreased urine output.
C. Decreased serum sodium levels (hyponatremia) are a key feature of SIADH due to excessive water retention.
D. Increased serum osmolality is not seen in SIADH; decreased serum osmolality is more characteristic.

A. Weight loss B. Hyperglycemia C. Hypotension D. Hyperkalemia

Correct Answer is B

Explanation

A. Weight gain, not weight loss, is a characteristic feature of Cushing's syndrome.
B. Hyperglycemia is common in Cushing's syndrome due to increased cortisol levels.
C. Hypertension, not hypotension, is common in Cushing's syndrome due to fluid retention.
D. Hypokalemia, not hyperkalemia, is common in Cushing's syndrome due to increased aldosterone levels.

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A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

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Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Correct Answer is C

Explanation

Which of the following is a characteristic feature of Cushing's syndrome?

Correct Answer is B

Explanation

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A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

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