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.
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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Related Questions
Correct Answer is C
Explanation
A. A low-sodium diet is not appropriate for Addison's disease; instead, adequate sodium intake is necessary.
B. Hyperglycemia is not typically associated with Addison's disease; hypoglycemia is more common.
C. Teaching the parents about cortisol replacement therapy is crucial because children with Addison's disease require lifelong cortisol replacement to manage their condition.
D. Monitoring for fluid volume excess is not typically a concern in Addison's disease; fluid volume deficit is more common.
Correct Answer is C
Explanation
A. Severe headache and neck stiffness are more indicative of meningitis, not Guillain-Barré syndrome.
B. Chest pain and difficulty breathing can occur in advanced stages but are not the initial common symptoms.
C. Muscle weakness and paralysis that start in the legs and spread to the upper body are hallmark symptoms of Guillain-Barré syndrome.
D. Blurred vision and eye pain are not typically associated with Guillain-Barré syndrome.
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