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. Weight loss is not a typical manifestation; weight gain due to fluid retention is more likely in SIADH.
B. Hypernatremia is not seen in SIADH; hyponatremia is more common.
C. Oliguria, or decreased urine output, is a characteristic manifestation of SIADH due to excessive antidiuretic hormone.
D. Increased thirst is not a primary symptom of SIADH; fluid retention and dilutional hyponatremia are more significant concerns.

A. Purple striations B. Intention tremors C. Hirsutism D. Hyperpigmentation

Correct Answer is D

Explanation

A. Purple striations are more commonly associated with Cushing's syndrome, not Addison's disease.
B. Intention tremors are not a characteristic of Addison's disease.
C. Hirsutism is associated with excessive androgen production, not Addison's disease.
D. Hyperpigmentation, especially in areas exposed to friction, is a classic sign of Addison's disease due to increased production of melanocyte-stimulating hormone along with adrenocorticotropic hormone.

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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 assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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?

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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?