Practice Question
Which patient statement indicates to the nurse that additional instruction is needed for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH)?
Answer Choices:
Correct Answer:
"I need to shop for foods low in sodium and avoid adding salt to food."
Rationale:
💎 In SIADH, the body retains excessive water due to excess antidiuretic hormone, leading to dilutional hyponatremia; sodium restriction would worsen the problem.
💎 Management focuses on fluid restriction, not sodium restriction, to restore sodium concentration and prevent neurological complications.
💎 Low sodium intake can increase risk of seizures, confusion, and coma in hyponatremic patients.
💎 Potassium-rich foods may be needed if loop diuretics are prescribed, as these cause potassium loss.
💎 Daily weights help monitor fluid balance, detecting early signs of retention or loss.
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This question is from Med Surg final Exam-Samuel merit University which contains 39 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4