Edema is a hallmark sign of SIADH caused by fluid shifts into the extracellular space.

Clinical manifestations include concentrated urine output and overhydration.

A patient is recovering from a lung resection because of malignant bronchogenic small cell carcinoma.

His serum sodium is 120 mEq/L and SIADH is suspected.

Which statement is accurate regarding SIADH?

Management includes rapid restoration of serum sodium levels to normal.

SIADH occurs when excessive ADH is released by the anterior pituitary.

SIADH is characterized by diluted urine output and dehydration.

Serum sodium levels typically rise in cases of SIADH.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Rapid restoration of serum sodium levels can lead to central pontine myelinolysis, a severe neurological condition. Thus, management should be gradual.
Choice B rationale
SIADH occurs due to excessive release of antidiuretic hormone (ADH) from the posterior pituitary gland, not the anterior, leading to water retention and hyponatremia.
Choice C rationale
SIADH is characterized by concentrated urine due to water retention and overhydration, not diluted urine output and dehydration.
Choice D rationale
Serum sodium levels typically decrease in SIADH due to water retention and dilutional hyponatremia.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
Wearing multiple layers of clothing helps to trap body heat, preventing hypothermia.
Choice B rationale
Drinking warm fluids from a thermos helps maintain body temperature by providing warmth.
Choice C rationale
Wearing gloves and earmuffs prevents heat loss from extremities, which is essential in preventing hypothermia.
Choice D rationale
Wearing a loose-fitting hat prevents heat loss from the head, which is a significant source of body heat loss.

A. Administering IV opioids to reduce pain. B. After rewarming, the extremity should be lowered to reduce edema. C. Immersion of hands and feet in warm water. D. Elevating affected limbs. E. Do not give tetanus prophylaxis.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Administering IV opioids can help manage the intense pain associated with frostbite, improving patient comfort during rewarming and recovery.
Choice B rationale
After rewarming, the extremity should be elevated, not lowered, to reduce edema by encouraging fluid return to the central circulation.
Choice C rationale
Immersing hands and feet in warm water is a crucial step in the rewarming process, which helps restore blood flow and prevent further tissue damage.
Choice D rationale
Elevating affected limbs after rewarming helps reduce edema and prevents further swelling and complications.
Choice E rationale
Tetanus prophylaxis is recommended in frostbite cases as frostbite injuries can break the skin, increasing the risk of tetanus infection. Hence, avoiding tetanus prophylaxis is incorrect.

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Naxlex Comprehensive Predictor Exams

The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia. Which information should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

Treatment for frostbite includes which actions? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

On a hot humid day, a nurse is caring for a client who is confused and presents with these vital signs: temperature 104.1°F (40.1°C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mmHg. What action would the nurse take to provide immediate appropriate care?

A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?

A nurse in the emergency department is monitoring a client who is receiving vincristine through a peripheral line. The nurse should monitor the client for which of the following complications indicating the need to stop the infusion? (Select all that apply.)

A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?