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 B

Explanation

A. Decreased urine osmolality is not consistent with SIADH; urine osmolality is typically increased due to concentrated urine.
B. Decreased serum osmolality is a hallmark of SIADH due to excess water retention diluting the serum.
C. Decreased urinary sodium is not typical in SIADH; urinary sodium is usually increased due to the excretion of concentrated urine.
D. Increased serum sodium is not consistent with SIADH; serum sodium is typically decreased due to dilutional hyponatremia.

A. A client who has muscle hypertrophy. B. A client who has a butterfly rash on his face. C. Moon face D. A client who has a positive Chvostek's sign.

Correct Answer is C

Explanation

A. Muscle hypertrophy is not associated with hypercortisolism; muscle wasting is more common.
B. A butterfly rash on the face is indicative of lupus, not hypercortisolism.
C. Moon face, or the round, puffy face, is a common manifestation of hypercortisolism (Cushing's syndrome).
D. A positive Chvostek's sign indicates hypocalcemia, not hypercortisolism.

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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

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following physiological alterations is consistent with a diagnosis of SIADH?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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