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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: While peer group acceptance is important, it is not the primary concern in this situation.
Choice B reason: Developing a sense of industry is part of Erikson's stages of psychosocial development but is not the primary nursing concern here.
Choice C reason: Whether the child can manage their own insulin and finger sticks is important, but safety is the primary concern.
Choice D reason: This is the correct choice. Ensuring the child's safety is paramount, as the school needs to be aware of the child's condition in case of a diabetes-related emergency.

A. The nurse will call the patient weekly to monitor the patient's blood pressure and symptoms. B. The patient will take up to 4 nitroglycerine tablets sublingually for chest pain. C. The nurse will encourage the patient to walk thirty minutes every day. D. The patient will record episodes of angina and self-management for one week.

Correct Answer is D

Explanation

Choice A reason: While monitoring blood pressure and symptoms is important, it is not a self-management outcome.
Choice B reason: Taking up to 4 nitroglycerine tablets may be part of the treatment plan, but it is not an outcome.
Choice C reason: Encouraging daily exercise is good, but it does not address the management of chest pain on exertion.
Choice D reason: This is the correct choice. Recording episodes of angina and self-management strategies provides valuable information for adjusting treatment and empowering the patient.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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