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:
🔷 In SIADH, excess ADH leads to water retention and dilutional hyponatremia.
🔷 Restricting fluids helps prevent worsening of hyponatremia and cerebral edema.
🔷 Sodium level of 123 mEq/L is critically low and requires urgent fluid restriction.
🔷 A low sodium diet would worsen sodium levels further and is contraindicated.
🔷 Hypertonic fluids or loop diuretics may be ordered, but fluid restriction is foundational.
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This question is from RN Capstone week 9 Exam which contains 50 questions.
More Questions from This Exam
A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?
Answer Choices:
A. "Your blood sugar is too high after meals."
B. "You have many dangerously low blood sugar levels."
C. "Your average blood sugar is high."
D. "Your blood sugar is very unstable."
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Answer Choices:
A. Administering oxygen via nasal cannula at 2 L/min
B. Helping the client select a low-salt diet
C. Maintaining a semi-Fowler's position as often as possible
D. Encouraging the client to drink 2 to 3 L of water daily
A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
Answer Choices:
A. "Examine your feet carefully every day."
B. "Wear compression stockings daily."
C. "Maintain stable blood glucose levels."
D. "Have an eye examination once per year."
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Answer Choices:
A. The hematocrit (Hct)
B. The erythrocyte sedimentation rate (ESR)
C. The leukocyte count
D. The platelet count
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4