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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Severe dehydration is not a typical concern when discontinuing prednisone.
B. Rebound pulmonary congestion is not a known risk of stopping prednisone suddenly.
C. Adrenocortical insufficiency can occur if prednisone is discontinued abruptly because the body needs time to resume normal cortisol production.
D. Hyperglycemia is a side effect of prednisone use but is not a concern when tapering off the medication.

A. Provide a low-carbohydrate diet. B. Restrict fluid intake. C. Administer oral corticosteroids. D. Weigh the client daily.

Correct Answer is C

Explanation

A. A balanced diet with adequate carbohydrates is important for managing Addison's disease; a low-carbohydrate diet is not recommended.
B. Restricting fluid intake is not appropriate for Addison's disease; adequate fluid intake is necessary.
C. Administering oral corticosteroids is crucial to replace the deficient cortisol levels and prevent Addisonian crisis.
D. While daily weight monitoring is important, administering corticosteroids addresses the immediate risk of crisis.

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Which nursing intervention is appropriate for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Correct Answer is C

Explanation

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?

A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?

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A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?

Which of the following is the primary etiology of Guillain-Barré syndrome?

A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

A nurse is assessing a client with suspected meningitis. Which of the following findings would the nurse identify as a classic manifestation of meningitis?