Practice Question
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?
Answer Choices:
Correct Answer:
Restrict fluid intake to 1,000 mL per day.
Rationale:
💎 Clients with SIADH and a low sodium level (123 mEq/L) are at risk for seizures and cerebral edema due to fluid retention.
💎 Fluid restriction is the primary treatment to prevent further dilution of sodium and reduce complications.
💎 Hypertonic saline and vasopressin antagonists may be used in severe cases.
💎 Increasing sodium in the diet or giving desmopressin would worsen hyponatremia in this context.
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This question is from RN ATI Medsurg Exam 7 which contains 74 questions.
More Questions from This Exam
A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
Answer Choices:
A. Urine output of 175 ml in the past 8 hrs
B. Urine output of 2,200 ml in the past 24 hr
C. Urine is cloudy after sitting in the urinal for 6 hr
D. First-voided urine in the morning has a strong odor
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. Which of the following laboratory values should the nurse anticipate an elevation of?
Answer Choices:
A. serum T3
B. Serum T4
C. Thyroid stimulating hormone (TSH)
D. Free T4
A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Answer Choices:
A. Wheezing
B. Decreased deep tendon reflexes
C. Cerebral edema
D. Hypoactive bowel sounds
A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?
Answer Choices:
A. Weight loss
B. Oliguria
C. Hypernatremia
D. Increased thirst
A nurse is assisting with the care of a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Answer Choices:
A. Place the client on seizure precautions.
B. Have the client breath into a paper bag.
C. Encourage the client to breath slowly,
D. Plan to administer sodium bicarbonate to the client
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4