Which nursing intervention is appropriate for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
Encouraging the client to increase fluid intake
Encouraging the client to consume a low-sodium diet
Administering IV hypertonic saline
Restricting fluid intake
The Correct Answer is D
. Increasing fluid intake would worsen fluid retention in SIADH.
B. A low-sodium diet is not indicated as it could exacerbate hyponatremia.
C. IV hypertonic saline is used in severe cases of hyponatremia but requires careful monitoring.
D. Restricting fluid intake is the primary intervention to prevent further dilution of sodium and manage SIADH effectively.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decreased urine osmolality is not consistent with SIADH; urine osmolality is typically increased due to concentrated urine.
B. Decreased serum osmolality is a hallmark of SIADH due to excess water retention diluting the serum.
C. Decreased urinary sodium is not typical in SIADH; urinary sodium is usually increased due to the excretion of concentrated urine.
D. Increased serum sodium is not consistent with SIADH; serum sodium is typically decreased due to dilutional hyponatremia.
Correct Answer is B
Explanation
A. Good hand hygiene is important for general infection prevention but is not specific to meningitis prevention.
B. Vaccination against meningococcal bacteria is a key preventive measure and a primary example of health promotion for meningitis.
C. Avoiding close contact with infected individuals helps prevent the spread but is more of a preventive action than a health promotion.
D. Drinking plenty of fluids is beneficial for overall health but does not specifically prevent meningitis.
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