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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Correct Answer is C

Explanation

Choice A rationale
Systemic lupus erythematosus (SLE) does not originate in the peripheral vascular system. This system involves the blood vessels outside of the heart and brain, and while SLE can affect these vessels, it is not the primary origin of the disease.
Choice B rationale
SLE does not originate in muscle tissue. Muscle involvement in SLE typically results from inflammation caused by the autoimmune response, but muscle tissue is not the source of the disease.
Choice C rationale
Connective tissue is where SLE originates. SLE is an autoimmune disease that primarily targets connective tissue, causing inflammation and damage to various organs and systems throughout the body.
Choice D rationale
The lymphatic system is not the origin of SLE. While the immune system plays a key role in SLE, the disease itself originates in the connective tissue, not the lymphatic system.

A. The client has an increased risk for bleeding. B. The client should receive an erythropoiesis stimulating agent. C. The client has an increased risk of infection. D. The client should receive a diet with increased protein.

Correct Answer is C

Explanation

Choice A rationale
The client's complete blood count does not specifically indicate an increased risk for bleeding. Platelet levels would need to be evaluated for bleeding risk.
Choice B rationale
Erythropoiesis stimulating agents are used for anemia but are not indicated based on the provided CBC.
Choice C rationale
The client is at increased risk of infection due to low white blood cell count (leukopenia), which indicates immunosuppression.
Choice D rationale
While a high-protein diet is beneficial during cancer treatment, the CBC results highlight an infection risk as the primary concern.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?

Correct Answer is C

Explanation

A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use?

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 caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

A nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?

A nurse is planning to assign tasks for a group of clients.Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply)

A nurse is creating the plan of care for a client who is immunosuppressed.Which of the following precautions should the nurse include in the plan? (Select all that apply)

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?