The nurse understands which of the following actions is an effective treatment approach for SIADH?
Administering diuretics to promote diuresis and eliminate excess fluid.
Increasing fluid intake to promote dilution of electrolytes.
Restricting fluid intake to prevent fluid overload.
Administering hypertonic 3% saline to restore electrolyte balance.
Correct Answer : C,D
Choice A rationale
Administering diuretics in SIADH can worsen hyponatremia by promoting water excretion with a concomitant loss of sodium, further diluting serum sodium concentration. The underlying issue in SIADH is excessive antidiuretic hormone leading to water retention, not primarily excess extracellular fluid that needs diuresis.
Choice B rationale
Increasing fluid intake is contraindicated in SIADH. The syndrome involves excessive reabsorption of water, leading to dilutional hyponatremia and fluid overload. Increasing fluid intake would exacerbate these issues, further lowering serum sodium levels and potentially leading to cerebral edema.
Choice C rationale
Restricting fluid intake is a cornerstone of SIADH management. By limiting water intake, the body's excessive water retention is mitigated, allowing serum sodium concentration to rise towards normal levels. This helps prevent further dilution of electrolytes and reduces the risk of fluid overload and cerebral edema.
Choice D rationale
Administering hypertonic 3% saline is an effective treatment for symptomatic severe hyponatremia in SIADH. This solution provides a concentrated source of sodium, helping to raise serum sodium levels by drawing water out of cells and into the extracellular space, thereby correcting the dilutional hyponatremia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["9"]
Explanation
Step 1 is: Heart rate 120 BPM = 2 points (HR > 100 BPM).
Step 2 is: Strong cry = 2 points (Strong cry/cough).
Step 3 is: Well-flexed = 2 points (Well flexed).
Step 4 is: Reflex-crying = 2 points (Cry/sneeze).
Step 5 is: Body pink; acrocyanosis present in hands and feet = 1 point (Body pink, extremities blue).
Step 6 is: Add up all the points: 2 + 2 + 2 + 2 + 1 = 9.
Answer: 9.
Correct Answer is ["B","D"]
Explanation
Choice A rationale
This statement is inaccurate because leadership inherently involves guiding individuals and teams towards achieving organizational objectives and getting work done. Effective leaders inspire action and commitment, which directly contributes to productivity and goal attainment, even though their approach differs from management's direct task orientation.
Choice B rationale
Leadership is indeed more focused on people. It involves inspiring, motivating, and empowering individuals to achieve shared goals. This human-centric approach fosters collaboration, innovation, and personal growth within the team, contrasting with management's primary focus on tasks and operational processes.
Choice C rationale
While management does involve budget allocation and financial oversight as part of its planning and controlling functions, this is not its sole or defining focus. Management encompasses a broader range of responsibilities including organizing resources, directing personnel, and controlling operations to achieve specific objectives.
Choice D rationale
Management is typically an assigned position within an organizational hierarchy, granting formal authority and responsibility for specific functions or departments. This contrasts with leadership, which can emerge organically within a group regardless of formal title, based on influence and inspiration.
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