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 A

Explanation

A. Maintaining the prescribed daily fluid restriction is crucial to manage hyponatremia and prevent further complications.
B. Head elevation is important but not the primary priority in SIADH management.
C. Turning and repositioning is necessary for bedrest patients but not specific to SIADH.
D. Providing oral hygiene is important for overall care but not the primary intervention for SIADH.

A. Place the child on a low-sodium diet. B. Discuss the manifestations of hyperglycemia with the parents. C. Teach the parents about cortisol replacement therapy. D. Monitor the child for fluid volume excess.

Correct Answer is C

Explanation

A. A low-sodium diet is not appropriate for Addison's disease; instead, adequate sodium intake is necessary.
B. Hyperglycemia is not typically associated with Addison's disease; hypoglycemia is more common.
C. Teaching the parents about cortisol replacement therapy is crucial because children with Addison's disease require lifelong cortisol replacement to manage their condition.
D. Monitoring for fluid volume excess is not typically a concern in Addison's disease; fluid volume deficit is more common.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which priority Intervention should the nurse implement for the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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