Which of the following is an expected finding in a client with syndrome of inappropriate antidiuretic hormone (SIADH)
Hypertension
Polyuria
Concentrated urine
Hypernatremia
The Correct Answer is C
A. Hypertension is not a typical finding in SIADH; fluid retention may lead to slight increases in blood pressure but not significant hypertension.
B. Polyuria is not expected in SIADH; decreased urine output is more common.
C. Concentrated urine is expected in SIADH due to excessive reabsorption of water.
D. Hypernatremia is not expected in SIADH; hyponatremia due to dilution of sodium is more common.
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Related Questions
Correct Answer is A
Explanation
A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.
Correct Answer is D
Explanation
. 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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