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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.4"]
Explanation
Rationale:
To calculate the dosage of Nitroprusside in mcg/min, first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. Therefore, 176 lbs is approximately 80 kg. Next, multiply the client's weight in kg by the dosage rate: 0.5 mcg/kg/min. So, 80 kg * 0.5 mcg/kg/min equals 40 mcg/min. To find mcg/hr, multiply the mcg/min dosage by 60, the number of minutes in an hour, which gives us 2400 mcg/hr. Finally, to calculate mL/hr, use the concentration of the drug: 500 mg in 500 mL. Since 1 mg equals 1000 mcg, 500 mg is 500,000 mcg. Divide the hourly dosage in mcg by the total number of mcg in the available fluid to find the mL/hr. Thus, 2400 mcg/hr divided by (500,000 mcg / 500 mL) results in 2.4 mL/hr. Rounded to the nearest tenth, the final dosages are 40 mcg/min, 2400 mcg/hr, and 2.4 mL/hr.
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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