The family of a client with SIADH asks the nurse if the water restriction is a punishment for the client's uncooperative behavior. What is the nurse's best response?
A. "No, limiting fluid intake decreases the risk of kidney failure."
B. "No, limiting water intake prevents the client from losing too much fluid by vo-miting."
C. "No, limiting fluid intake keeps the client's blood from becoming more dilute and causing other complications."
D. "No, limiting fluid decreases the client's sense of thirst and prevents him from drinking liquids that contain an excess of sodium."
C
The increased water reabsorption that occurs with SIADH causes a fluid overload and can dilute serum electrolyte concentrations, especially sodium, to dangerously low levels. Appropriate therapy aims to reduce the overhydration by limiting fluids and increasing urine output.
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A 70-year-old woman is starting on an acidic drug. The nurse is aware that food and nutrient intake can affect drug excretion by changing the urinary pH. About which of the following will the nurse question the patient concerning her diet?
A) The intake of sodium B) The amount of meat and vegetables C) The use of grapefruit D) The intake of foods high in protein
The blood pressure and pulse rates for a client admitted last night with a compound fracture of the
femur sustained in a fall while intoxicated, are recorded as follows: admission 2 AM, 122/80 mm Hg and 72 beats/min 4 AM, 126/78 mm Hg and 76 beats/min 6 AM, 124/80 mm Hg and 72 beats/min 8 AM, 132/88 mm Hg and 80 beats/min 10 AM, 148/88 mm Hg and 96 beats/min The priority action for the nurse to take is to a. encourage the client to drink plenty of liquids. b. obtain a clean-catch urine sample. c. place the client in a vest-type restraint. d. notify the physician.
The nurse has identified the diagnosis of ineffective airway clearance for an older client with pneumonia. Which intervention is most important to include when planning care for this client?
1. Chest percussion on a schedule 2. Administer a cough suppressant 3. Teach smoking cessation 4. Administer the pneumococcal vaccine
The nurse suspects that an infant has a visual disorder caused by abnormal musculature. To detect this disorder,the nurse would perform
1. a cover/uncover test. 2. an ophthalmologic exam. 3. a vision-acuity exam. 4. a pupil-reaction-to-light test.