A patient with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) may present with which of the following symptoms?

Hypotension

Dry mucous membranes

Increased thirst

Confusion or altered mental status

Answer and Explanation

The Correct Answer is D

A. Hypotension: Patients with SIADH typically have fluid retention, which can lead to hypertension, not hypotension.

B. Dry mucous membranes: In SIADH, fluid retention is common, so mucous membranes are usually moist, not dry.

C. Increased thirst: While thirst can occur in various conditions, it is not a primary symptom of SIADH.

D. Confusion or altered mental status: Confusion or altered mental status may occur in SIADH due to hyponatremia from excessive water retention.

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Correct Answer is A

Explanation

A. Drink plenty of fluids to stay hydrated. Staying hydrated is essential in managing viral pharyngitis to prevent dehydration, soothe the throat, and promote recovery.

B. Take antibiotics as prescribed until the course is complete. Antibiotics are not indicated for viral infections; they are only used for bacterial infections.

C. Avoid all forms of physical activity until fully recovered. While rest is recommended, light activities may be acceptable depending on the patient’s energy levels and symptoms. Total avoidance of all physical activity is unnecessary.

D. Use throat lozenges as needed but avoid resting to prevent throat swelling. Resting is beneficial to recovery. Throat lozenges may soothe irritation, but avoiding rest would be counterproductive.

A. Elevated blood pressure B. warm, flushed skin C. Increased urine output D. Increased heart rate

Correct Answer is D

Explanation

A. Elevated blood pressure. Blood pressure typically drops in hypovolemic shock as blood volume decreases.

B. Warm, flushed skin. As hypovolemic shock progresses, skin becomes cool and clammy due to decreased blood flow and compensatory vasoconstriction.

C. Increased urine output. Hypovolemic shock leads to decreased urine output due to reduced renal perfusion.

D. Increased heart rate. An increased heart rate is an early compensatory response in hypovolemic shock as the body attempts to maintain cardiac output.

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A patient with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) may present with which of the following symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with viral pharyngitis is being discharged from the clinic. Which of the following instructions should the nurse include in the discharge?

Correct Answer is A

Explanation

A patient with active gastrointestinal bleeding is being monitored for complications. Which of the following signs indicates the patient is developing hypovolemic shock?

Correct Answer is D

Explanation

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