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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Correct Answer is B
Explanation
A. Blood cultures can identify causative organisms but are not definitive for meningitis.
B. Lumbar puncture is the definitive test for meningitis, as it allows for analysis of cerebrospinal fluid to confirm the diagnosis and identify the causative organism.
C. MRI can provide imaging of the brain but cannot definitively diagnose meningitis.
D. CT scan is useful for imaging but does not provide a definitive diagnosis of meningitis.
Correct Answer is D
Explanation
A. Corticosteroids are not typically used as the initial treatment for Guillain-Barré syndrome.
B. Antibiotics are not effective against Guillain-Barré syndrome as it is not caused by a bacterial infection.
C. Antiviral medications are not relevant for Guillain-Barré syndrome because it is not caused by a viral infection.
D. Intravenous immunoglobulin (IVIG) is the initial treatment of choice as it helps reduce the severity and duration of the symptoms by modulating the immune response.
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