Which patient statement indicates to the nurse that teaching was effective about chronic syndrome of inappropriate antidiuretic hormone (SIADH)?
“I should weigh myself daily and report sudden weight loss or gain.”
“I should eat foods high in potassium because diuretics cause potassium loss.”
“I need to shop for foods low in sodium and avoid adding salt to food.”
“I need to limit my fluid intake.”
The Correct Answer is D
Choice A reason: Daily weighing monitors fluid changes but is less specific than fluid restriction, the cornerstone of chronic SIADH management. Limiting fluid intake directly addresses hyponatremia, making this secondary and incorrect compared to the primary teaching point for effective patient understanding.
Choice B reason: High-potassium foods relate to diuretic use, not standard in chronic SIADH, where fluid restriction is key. This is incorrect, as it misapplies treatment principles, unlike fluid limitation, which correctly reflects the nurse’s teaching on managing chronic SIADH effectively.
Choice C reason: Low-sodium diets may help but are not the primary focus in chronic SIADH, where fluid restriction prevents hyponatremia. This is incorrect, as it’s less critical than fluid limitation, which demonstrates the patient’s accurate understanding of the nurse’s teaching.
Choice D reason: Limiting fluid intake prevents water retention and hyponatremia in chronic SIADH, reflecting effective teaching. This aligns with endocrine management guidelines, making it the correct statement indicating the patient’s understanding of the nurse’s education on managing chronic SIADH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Placing the patient near the nurse’s station allows close monitoring, reducing wandering risks in Alzheimer’s disease. This aligns with safety protocols in rehab facilities, making it the correct action to include in the care plan to manage the patient’s wandering behavior effectively.
Choice B reason: Reorienting frequently may not prevent wandering in Alzheimer’s, as cognitive deficits persist. Proximity to the nurse’s station ensures safety, making this less effective and incorrect compared to the nurse’s priority of physical monitoring to address the patient’s wandering risk.
Choice C reason: Familiar items provide comfort but don’t directly prevent wandering, a safety concern in Alzheimer’s. A room near the nurse’s station is more effective, making this secondary and incorrect compared to the nurse’s focus on immediate safety in the care plan.
Choice D reason: Asking why the patient wanders is ineffective, as Alzheimer’s impairs insight into behavior. Close monitoring via room placement prevents wandering, making this impractical and incorrect compared to the nurse’s action to ensure safety in the rehab facility care plan.
Correct Answer is B
Explanation
Choice A reason: Showering and walking the next day are appropriate post-thyroidectomy activities, promoting mobility without strain. Expecting yellow drainage indicates a misunderstanding, as it suggests infection, making this correct and incorrect for needing further teaching, as it aligns with recovery expectations.
Choice B reason: Yellow drainage from the incision suggests infection, not a normal post-thyroidectomy expectation, indicating a need for further teaching. Normal drainage, if any, is minimal and serosanguinous, making this the correct choice, as it reflects a misconception requiring clarification in the patient’s recovery education.
Choice C reason: Avoiding heavy lifting is accurate, as it prevents strain on the surgical site post-thyroidectomy. Yellow drainage is an incorrect expectation, making this correct and incorrect for needing teaching, as it aligns with proper recovery restrictions to ensure healing and safety.
Choice D reason: Avoiding excessive neck extension is appropriate to protect the incision and promote healing post-thyroidectomy. Yellow drainage is a misconception, making this correct and incorrect for needing teaching, as it reflects proper understanding of activity limitations during the recovery period.
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