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.”

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Difficulty speaking post-carotid artery angioplasty suggests a neurological complication, possibly stroke, requiring immediate intervention. This aligns with post-procedure neurological assessment priorities, making it the most concerning finding for the nurse to address urgently in the patient’s care.

Choice B reason: Fine crackles at lung bases may indicate fluid overload but are less urgent than speech difficulty, which suggests stroke. Neurological complications take precedence, making this secondary and incorrect compared to the nurse’s priority of addressing potential cerebral events post-procedure.

Choice C reason: A pulse of 102 beats/min is mildly elevated but less critical than speech difficulty, which may indicate a neurological event. Stroke risk is the primary concern, making this less urgent and incorrect compared to the nurse’s focus on neurological assessment post-angioplasty.

Choice D reason: Blood pressure of 144/86 mm Hg is elevated but within acceptable post-procedure ranges. Speech difficulty suggests a neurological issue, making this less concerning and incorrect compared to the nurse’s priority of evaluating potential stroke in the patient post-angioplasty.

A. Computed tomography (CT). B. Ultrasound. C. Magnetic resonance angiography (MRA). D. Abdominal x-ray.

Correct Answer is B

Explanation

Choice A reason: CT scans can detect gallstones but are less specific and involve radiation, making them secondary to ultrasound. Ultrasound is the preferred test for its accuracy and safety, making this less optimal and incorrect compared to the primary diagnostic tool for confirming gallstones.

Choice B reason: Ultrasound is the most helpful test for confirming gallstones, offering high sensitivity and specificity without radiation. It visualizes stones clearly in the gallbladder, aligning with diagnostic guidelines, making it the correct choice for the nurse to identify as the primary radiographic test for gallstones.

Choice C reason: MRA focuses on vascular structures, not gallstones, and is irrelevant for gallbladder assessment. Ultrasound is the standard for gallstone confirmation, making this inappropriate and incorrect compared to the non-invasive, effective imaging method used in diagnosing gallbladder conditions.

Choice D reason: Abdominal x-rays detect only calcified gallstones, missing non-calcified ones, which are common. Ultrasound is more comprehensive, making this less reliable and incorrect compared to the preferred diagnostic test for accurately confirming gallstones in a clinical setting.

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Which patient statement indicates to the nurse that teaching was effective about chronic syndrome of inappropriate antidiuretic hormone (SIADH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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