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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["18"]
Explanation
To calculate the IV pump setting, first convert the patient's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The patient weighs 195 pounds, which is approximately 88.64 kilograms (195 / 2.2). Next, calculate the total units of Heparin needed per hour by multiplying the patient's weight in kilograms by the dosage ordered: 20 units/kg/hr. So, 88.64 kg * 20 units/kg/hr equals 1,772.8 units/hr. Now, determine how many milliliters per hour this dosage requires. Since the premixed bag contains 25,000 units in 250 ml, there are 100 units per ml (25,000 units / 250 ml). Finally, divide the total units needed per hour by the concentration to find the volume needed per hour: 1,772.8 units/hr / 100 units/ml equals 17.728 ml/hr. Rounded to the nearest whole number, the IV pump should be set to 18 ml/hr.
Correct Answer is B
Explanation
A. Limiting intake of potassium-rich foods is not recommended; clients with Cushing's disease often need to increase potassium intake due to hypokalemia.
B. Restricting sodium intake is important to help manage fluid retention and hypertension associated with Cushing's disease.
C. Increasing carbohydrate intake is not advisable as it can exacerbate hyperglycemia, a common issue in Cushing's disease.
D. Decreasing protein intake is not necessary; maintaining adequate protein intake is important for muscle mass and overall health.
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