The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). The plan of care includes assessment of specific gravity every 4 hours. The results of this test will allow the nurse to assess what aspect of the client's health?

Nutritional Status

Potassium Balance

Calcium Balance

Fluid Volume Status

Answer and Explanation

The Correct Answer is D

A. Nutritional status is not evaluated using urine specific gravity; this requires dietary intake assessments and lab tests like albumin or prealbumin.
B. Potassium balance is monitored through serum potassium levels, not urine specific gravity.
C. Calcium balance is also assessed through blood tests, not specific gravity measurements.
D. Urine specific gravity reflects the concentration of solutes in the urine and is a direct indicator of fluid volume status. In SIADH, excessive ADH causes water retention and concentrated urine, resulting in elevated specific gravity, which helps monitor the effectiveness of fluid management.

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Correct Answer is A

Explanation

A. Fried chicken is high in fat and should be avoided in clients with acute gallbladder inflammation (cholecystitis), as fatty foods can exacerbate symptoms like pain and nausea.
B. Mashed potatoes are low in fat and generally well tolerated if prepared without heavy cream or butter.
C. A dinner roll is typically low in fat and safe for someone on a low-fat diet.
D. Tapioca pudding is a low-fat dessert and appropriate for a client with gallbladder inflammation.

A. Increase in hours of sleep per night B. Decrease in level of thyroxine (T4) C. Increase in weight D. Decrease in level of thyroid stimulating hormone (TSH).

Correct Answer is D

Explanation

A. Increased sleep may suggest persistent hypothyroidism or overtreatment leading to fatigue, not necessarily a sign of effective therapy.
B. A decrease in T₄ would indicate a worsening of hypothyroidism or inadequate dosing, not a therapeutic response.
C. Weight gain is a common symptom of untreated hypothyroidism; effective levothyroxine therapy should help normalize weight.
D. A decrease in TSH indicates that the body is receiving adequate thyroid hormone, suppressing the pituitary's signal for more, and is a primary marker of a therapeutic response to levothyroxine.

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The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). The plan of care includes assessment of specific gravity every 4 hours. The results of this test will allow the nurse to assess what aspect of the client's health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is D

Explanation

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A client with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on the critical care unit. What is the priority nursing diagnosis for a client with this condition?

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