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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.
Correct Answer is B
Explanation
A. Good hand hygiene is important for general infection prevention but is not specific to meningitis prevention.
B. Vaccination against meningococcal bacteria is a key preventive measure and a primary example of health promotion for meningitis.
C. Avoiding close contact with infected individuals helps prevent the spread but is more of a preventive action than a health promotion.
D. Drinking plenty of fluids is beneficial for overall health but does not specifically prevent meningitis.
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