Which priority Intervention should the nurse implement for the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

Maintain the prescribed daily fluid restriction.

Position the client's head of bed with no more than 10 degrees of elevation.

Turn and reposition the client every 2 hours while on bedrest.

Provide frequent oral hygiene every 2 hours for the client.

Answer and Explanation

The Correct Answer is A

A. Maintaining the prescribed daily fluid restriction is crucial to manage hyponatremia and prevent further complications.
B. Head elevation is important but not the primary priority in SIADH management.
C. Turning and repositioning is necessary for bedrest patients but not specific to SIADH.
D. Providing oral hygiene is important for overall care but not the primary intervention for SIADH.

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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.

Correct Answer is ["22.6"]

Explanation

To calculate the IV pump setting, first convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client weighs 166 pounds, which is approximately 75.45 kilograms. Next, calculate the dosage in units per hour by multiplying the client's weight in kilograms by the ordered dosage of 15 units/kg/hr, which equals 1131.75 units/hr. Since Heparin is available as 25,000 units in 500 ml, divide the total units in the bag by the volume to find the concentration, which is 50 units/ml. Finally, divide the dosage required per hour by the concentration to find the volume to be administered per hour. Therefore, the IV pump should be set to approximately 22.6 ml/hr, rounding to the nearest tenth.

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Which priority Intervention should the nurse implement for the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

The physician has ordered your client to receive Heparin at 15 u/kg/hr. Heparin is available as 25,000 units in 500 ml. Your client weighs 166 pounds. Calculate how many ml/hr to set the IV pump. Round answer to nearest tenth.

Correct Answer is ["22.6"]

Explanation

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