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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.
Correct Answer is D
Explanation
A. Corticosteroids are not typically used as the initial treatment for Guillain-Barré syndrome.
B. Antibiotics are not effective against Guillain-Barré syndrome as it is not caused by a bacterial infection.
C. Antiviral medications are not relevant for Guillain-Barré syndrome because it is not caused by a viral infection.
D. Intravenous immunoglobulin (IVIG) is the initial treatment of choice as it helps reduce the severity and duration of the symptoms by modulating the immune response.
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