A patient with chronic syndrome of inappropriate anti-diuretic hormone (SIADH) reports to the nurse that they feel constantly thirsty. Which action should the nurse take?
Encourage the client to use hard candy frequently to help relieve thirst.
Measure the client’s capillary glucose reading at regular intervals.
Withhold the next diuretic dose until contacting the healthcare provider.
Provide the client with additional oral fluids of her preference.
The Correct Answer is A
Choice A reason: This is the correct choice. Hard candy can help relieve the sensation of thirst without causing fluid overload.
Choice B reason: Measuring capillary glucose is not directly related to managing thirst in SIADH.
Choice C reason: Withholding diuretics without medical advice could be harmful and is not related to managing thirst.
Choice D reason: Providing additional oral fluids may exacerbate fluid retention in SIADH and is not recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Infrequent diaper changes can contribute to diaper rash, but the presence of satellite lesions suggests a yeast infection rather than a simple irritant rash.
Choice B reason: Impetigo, caused by staphylococcal or streptococcal bacteria, typically presents with honey-colored crusts and is not usually associated with satellite lesions.
Choice C reason: The description of bright red scaly plaques and satellite lesions is characteristic of a yeast infection, specifically caused by Candida albicans.
Choice D reason: While urine and feces can irritate the skin and cause diaper rash, the specific clinical findings mentioned point more towards a yeast infection.
Correct Answer is C
Explanation
Choice A reason: Limited eye movement is not typically associated with open-angle glaucoma, which primarily affects peripheral vision.
Choice B reason: Photosensitivity can be a symptom of various eye conditions but is not the primary issue in open-angle glaucoma.
Choice C reason: This is the correct choice. Open-angle glaucoma is characterized by the gradual loss of peripheral vision, which can lead to tunnel vision if untreated.
Choice D reason: Blurred distance vision can occur in many eye conditions but is not specific to open-angle glaucoma.
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